Individual provider Active NPI

Haruna Suzuki, RDN

  • Registered Dietitian
  • Monterey Park, CA
National Provider Identifier
1114692787
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86059694 Issued in CA
Practice address
242 Keller St
Monterey Park, CA 91755-5606
Phone
(323) 474-8247
NPI assigned
Aug 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 86059694 CA
Registered Dietitian 133V00000X 86059694 CA Primary

Addresses

Primary practice location

242 Keller St
Monterey Park, CA 91755-5606

Mailing address

242 Keller St
Monterey Park, CA 91755-5606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86059694CAMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Rosas M.D., P.a. CurrentSince Jun 13, 2022 Accepting new patients

Locations

704 Paredes Line Rd
Ste A
Brownsville, TX 78521
Phone (956) 831-7111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDJHBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1114692787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 KELLER ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917555606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 KELLER ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917555606",
            "telephone_number": "323-474-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "HARUNA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "86059694",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86059694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.