Individual provider Active NPI

Michelle Gapuz, RD, IBCLC

  • Registered Dietitian
  • Hayward, CA
National Provider Identifier
1154777027
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
930995 Issued in CA
Practice address
24085 Amador St Ste 100
Hayward, CA 94544-1278
Phone
(510) 595-6400
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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 930995 CA Primary

Addresses

Primary practice location

24085 Amador St Ste 100
Hayward, CA 94544-1278

Mailing address

36954 Papaya St
Newark, CA 94560-3338
Phone (510) 754-1855

Other practice location 1

39155 Liberty St
Suite D430
Fremont, CA 94538-1513
Phone (510) 795-2458

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
930995CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1154777027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36954 PAPAYA ST",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603338",
            "telephone_number": "510-754-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24085 AMADOR ST STE 100",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441278",
            "telephone_number": "510-595-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39155 Liberty St",
            "address_2": "Suite D430",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381513",
            "country_code": "US",
            "telephone_number": "510-795-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAPUZ",
        "first_name": "MICHELLE",
        "credential": "RD, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "930995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.