Individual provider Active NPI

Cynthia Susana Tovar, REGISTERED DIETITIAN

  • Registered Dietitian
  • Fresno, CA
National Provider Identifier
1124653837
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86006869 Issued in CA
Practice address
5612 N Fresno St Ste 108
Fresno, CA 93710-6182
Phone
(559) 418-0241
Fax
(559) 550-0462
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86006869 CA Primary
Lactation Consultant (Non-RN) 174N00000X L-306847 CA

Addresses

Primary practice location

5612 N Fresno St Ste 108
Fresno, CA 93710-6182

Mailing address

5612 N Fresno St Ste 108
Fresno, CA 93710-6182
Phone (559) 213-6761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202003100 CA Practitioner - Registered Dietitian Or Nutrition Professional 8022594829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5612 N Fresno St
Suite 108
Fresno, CA 93710-6182

698 E San Carlos Ave
Fresno, CA 93710-7031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86006869CAMDRegistered Dietitian
L-306847CAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Accessible Lactation Nutrition and Dietetic Services LLC Dietitian, Registered CurrentSince Nov 1, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

5612 N Fresno St
Ste 108
Fresno, CA 93710
Phone (559) 418-0241

Organizations & group practices 2

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1124653837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 N FRESNO ST STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106182",
            "telephone_number": "559-213-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 N FRESNO ST STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106182",
            "telephone_number": "559-418-0241",
            "fax_number": "559-550-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "CYNTHIA",
        "middle_name": "SUSANA",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86006869",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-306847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.