Active NPI
Rizwan Ul Haque, RD
- Registered Dietitian
- Upland, CA
National Provider Identifier
1285332452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86147045
- Practice address
- 268 McArthur Way
Upland, CA 91786-5615 - Phone
- (909) 406-5353
- NPI assigned
- Feb 17, 2023
- Sex
- Male
- 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 | 86147045 | CA | Primary |
Addresses
Primary practice location
268 McArthur Way
Upland, CA 91786-5615
Mailing address
268 McArthur Way
Upland, CA 91786-5615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86147045 | Other | CA | CDR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86147045 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1285332452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 MCARTHUR WAY",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 MCARTHUR WAY",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865615",
"telephone_number": "909-406-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQUE",
"first_name": "RIZWAN",
"middle_name": "UL",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-17",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86147045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "86147045",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.