Active NPI
Thomas Isaiah Villarreal, RD
- Registered Dietitian
- Irvine, CA
National Provider Identifier
1285406546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86297069
- Practice address
- 23420 Spectrum
Irvine, CA 92618-3438 - Phone
- (626) 429-0022
- NPI assigned
- Oct 30, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 86297069 | CA | Primary |
Addresses
Primary practice location
23420 Spectrum
Irvine, CA 92618-3438
Mailing address
1919 Jennifer PL
West Covina, CA 91792-1031
Phone (626) 429-0022
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 |
|---|---|---|---|
| 86297069 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, 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": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1285406546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 JENNIFER PL",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921031",
"telephone_number": "626-429-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23420 SPECTRUM",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183438",
"telephone_number": "626-429-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "THOMAS",
"middle_name": "ISAIAH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86297069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.