Active NPI
Alhambra Nutrition LLC
- Registered Dietitian
- Emeryville, CA
National Provider Identifier
1104677764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ALHAMBRA NUTRITION LLC
- Practice address
- 1025 53Rd St
Emeryville, CA 94608 - Phone
- (408) 337-2280
- Fax
- (510) 495-1116
- NPI assigned
- Apr 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan Carlo Alhambra, RDN
- Title
- Owner
- Phone
- (408) 337-2280
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1025 53Rd St
Emeryville, CA 94608
Mailing address
1025 53Rd St
Emeryville, CA 94608-3101
Phone (408) 337-2280
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1104677764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 53RD ST",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946083101",
"telephone_number": "408-337-2280",
"fax_number": "510-495-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 53RD ST",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94608",
"telephone_number": "408-337-2280",
"fax_number": "510-495-1116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALHAMBRA NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-01",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "ALHAMBRA",
"authorized_official_first_name": "JUAN CARLO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-337-2280",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.