Individual provider Active NPI

Agnieszka Depinska, MS, RD

  • Registered Dietitian
  • Walnut Creek, CA
National Provider Identifier
1275168684
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86131149 Issued in CA
Practice address
1399 Ygnacio Valley Rd Ste 3
Walnut Creek, CA 94598-2868
Phone
(323) 287-7428
NPI assigned
Mar 5, 2020
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 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 86131149 CA Primary

Addresses

Primary practice location

1399 Ygnacio Valley Rd Ste 3
Walnut Creek, CA 94598-2868

Mailing address

7945 SW 135TH St
Pinecrest, FL 33156-6764
Phone (925) 385-6808

Other practice location 1

851 Tampico
Walnut Creek, CA 94598-2930
Phone (323) 287-7428

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86131149CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Wellness PLLC Dietitian, Registered Current Accepting new patients
Eileen Roberts PH D Inc CurrentSince Jul 1, 2020 Accepting new patients

Locations

1399 Ygnacio Valley Rd
Ste 3
Walnut Creek, CA 94598
Phone (323) 287-7428

Organizations & group practices 2

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1275168684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 SW 135TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566764",
            "telephone_number": "925-385-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD STE 3",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982868",
            "telephone_number": "323-287-7428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Tampico",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982930",
            "country_code": "US",
            "telephone_number": "323-287-7428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPINSKA",
        "first_name": "AGNIESZKA",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86131149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.