Active NPI
Nancy Chivichon-Navarro, RD
- Registered Dietitian
- Moreno Valley, CA
National Provider Identifier
1154744522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1024153
- Practice address
- 28648 Avenue Ave.
Moreno Valley, CA 92555 - Phone
- (909) 319-4552
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1024153 | CA | Primary |
Addresses
Primary practice location
28648 Avenue Ave.
Moreno Valley, CA 92555
Mailing address
28648 Avalon Ave
Moreno Valley, CA 92555-7061
Phone (909) 319-4552
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1024153 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1154744522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28648 AVALON AVE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925557061",
"telephone_number": "909-319-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28648 AVENUE AVE.",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "92555",
"telephone_number": "909-319-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIVICHON-NAVARRO",
"first_name": "NANCY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1024153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.