Marianna Yael Gonzalez Chavez, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86055587 Issued in CA

Practice address

949 Palm Ave
Imperial Beach, CA 91932-1503

Phone

(619) 429-3733

NPI assigned

Dec 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marianna Yael Gonzalez Chavez Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariannagonzalezchavez@ibcc.allscriptsdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/EBEEDD
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10012052

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.

• Diabetes Digital Corp

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1487331328
  Medicare reassignment
• Imperial Beach Community Clinic

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1215246996
  NPD
• Imperial Beach Community Clinic

  • Community Health Clinic/Center
  • Imperial Beach, CA
  • NPI 1790718351
  NPD

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1124532940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 PALM AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321503",
            "telephone_number": "702-556-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 PALM AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321503",
            "telephone_number": "619-429-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CHAVEZ",
        "first_name": "MARIANNA",
        "middle_name": "YAEL",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86055587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNA",
            "last_name": "GONZALEZ CHAVEZ",
            "middle_name": "YAEL",
            "credential": "RDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christian Richard Flohr, NAVY DIVE IDC
• Francesca Floyd, MSN, FNP-C
• Garfield Beach CVS LLC
• Geo-Metric Procurement, Inc.
• Lisa George
• Andrea Gonzalez, LCSW
• Claudia Gonzalez, LCSW
• Daveion Goodson
• Danielle Alexis Gordon, FNP
• Abraham Hanono, O.D.

• Registered Dietitian in Imperial Beach, CA
• Providers in Imperial Beach, 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 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.