Alyssa Nicole Piombo, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86042470 Issued in NV

Practice address

5327 Terrace Oak Cir
Fair Oaks, CA 95628-3633

Phone

(916) 860-9350

NPI assigned

Feb 16, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1114386372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8327 WILLOWDALE WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285210",
            "telephone_number": "916-860-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 TERRACE OAK CIR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283633",
            "telephone_number": "916-860-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIOMBO",
        "first_name": "ALYSSA",
        "middle_name": "NICOLE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "86042470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5327 Terrace Oak Cir",
            "city": "Fair Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956283633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maivi Pham, PHARMD
• Sarah Lynn Pham
• Anthony Minhduc Huy Phan, DMD
• Juleigh Pierce
• Jana Pinkley
• Cheryl Marie Pitts
• Joan Madeleine Plastino, L.AC.
• Chessley Corey Pleake, RADT
• Polley & Associates
• David William Polley, D.C.

• Registered Dietitian in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.