Antonette Mar, MS, RD, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

988860 Issued in CA

Practice address

12512 Montbatten PL
Bakersfield, CA 93312-6773

Phone

(661) 586-4088

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: antonette.mar.p1@direct.bfmc.nextgenshare.com
• Direct secure messaging: antonette.mar.p8@direct.bfmc.nextgenshare.com

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1285039537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12512 MONTBATTEN PL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126773",
            "telephone_number": "661-586-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12512 MONTBATTEN PL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126773",
            "telephone_number": "661-586-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "ANTONETTE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "988860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas William Manzella, D.C.
• Manzo Medical Group Incorporated
• Sandra Manzo, MS-CCC-SLP
• Uriel Manzo, M.D.
• Kristina Nor Maong
• Michael Mar, PT, DPT
• Brian Mara
• Marasigan Dental, Corp
• Marcela Lopez LCSW Empowerment and Wellness Center Inc.
• Yasmin Angela Tengasantos Marcelo

• Registered Dietitian in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.