Individual provider Active NPI

Esmeralda Elizabeth Vazquez, RDN

  • Registered Dietitian
  • Palm Desert, CA
National Provider Identifier
1265157861
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86155763 Issued in CA
Practice address
74818 Velie Way Ste 12
Palm Desert, CA 92260-1924
Phone
(760) 702-6394
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 86155763 CA Primary

Addresses

Primary practice location

74818 Velie Way Ste 12
Palm Desert, CA 92260-1924

Mailing address

74818 Velie Way Ste 12
Palm Desert, CA 92260-1924
Phone (760) 702-6394

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
86155763CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Nutrition and Wellness Dietitian, Registered CurrentSince Oct 9, 2022 Accepting new patients

Locations

74818 Velie Way
Ste 12
Palm Desert, CA 92260
Phone (760) 702-6394

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1265157861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74818 VELIE WAY STE 12",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601924",
            "telephone_number": "760-702-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74818 VELIE WAY STE 12",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601924",
            "telephone_number": "760-702-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "ESMERALDA",
        "middle_name": "ELIZABETH",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86155763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.