Active NPI
Teresita Buenrostro, RD
- Registered Dietitian
- Arcadia, CA
National Provider Identifier
1215220710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 28 E Newman Ave
Arcadia, CA 91006-2834 - Phone
- (323) 240-4903
- Fax
- (323) 240-4903
- NPI assigned
- May 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 894639 | CA | |
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
28 E Newman Ave
Arcadia, CA 91006-2834
Mailing address
5420 N Figueroa St
Los Angeles, CA 90042-4118
Phone (323) 240-4903
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 |
|---|---|---|---|
| 894639 | CA | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1215220710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 N FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424118",
"telephone_number": "323-240-4903",
"fax_number": "323-240-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 E NEWMAN AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910062834",
"telephone_number": "323-240-4903",
"fax_number": "323-240-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENROSTRO",
"first_name": "TERESITA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "894639",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.