Individual provider Active NPI

Yessenia Esmeralda Marroquin, R,D

  • Registered Dietitian
  • Van Nuys, CA
National Provider Identifier
1124217633
Registry record updated Oct 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
919970 Issued in CA
Practice address
7646 Densmore Ave
Van Nuys, CA 91406-2046
Phone
(818) 994-1288
NPI assigned
Oct 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 919970 CA Primary

Addresses

Primary practice location

7646 Densmore Ave
Van Nuys, CA 91406-2046

Mailing address

2048 W 154TH St
Gardena, CA 90249-4223
Phone (310) 225-5602

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mahfouz M. Michael,M.D.,Inc. Past Accepting new patients

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": "1192838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192838400000",
    "number": "1124217633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 W 154TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494223",
            "telephone_number": "310-225-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7646 DENSMORE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062046",
            "telephone_number": "818-994-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "YESSENIA",
        "middle_name": "ESMERALDA",
        "credential": "R,D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-20",
        "last_updated": "2007-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "919970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; 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.