Active NPI
Cheri Lynn Blucher, R.D.
- Registered Dietitian
- Moreno Valley, CA
National Provider Identifier
1174707038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 819877
- Practice address
- 11119 Los Olivos Dr
Moreno Valley, CA 92557-5236 - Phone
- (951) 485-0490
- Fax
- (951) 485-2142
- NPI assigned
- Dec 27, 2007
- Last updated
- Dec 27, 2007
- 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 | 819877 | CA | Primary |
Addresses
Primary practice location
11119 Los Olivos Dr
Moreno Valley, CA 92557-5236
Mailing address
11119 Los Olivos Dr
Moreno Valley, CA 92557-5236
Phone (951) 485-0490
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 |
|---|---|---|---|
| 819877 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Nutrition Group, Inc. | Dietitian, Registered | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1174707038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11119 LOS OLIVOS DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925575236",
"telephone_number": "951-485-0490",
"fax_number": "951-485-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11119 LOS OLIVOS DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925575236",
"telephone_number": "951-485-0490",
"fax_number": "951-485-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUCHER",
"first_name": "CHERI",
"middle_name": "LYNN",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "819877",
"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 Dec 27, 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.