Stefani L Roesch, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

717909 Issued in IL

Practice address

8532 Kelso Dr
Huntington Beach, CA 92646-4502

Phone

(714) 323-2522

NPI assigned

Jul 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Stefani L Gray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1306287289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 KELSO DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464502",
            "telephone_number": "714-323-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 KELSO DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464502",
            "telephone_number": "714-323-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESCH",
        "first_name": "STEFANI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "717909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANI",
            "last_name": "GRAY",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lizeth Rodriguez
• Naydelin Rodriguez
• Ruben Rodriguez Jr., MA
• Tom Rodriguez
• Brooke Roemer
• Roger L. McClellan, MD, Inc.
• Suzanne Joyce Roh-Freeman, PT
• Michael Lee Roh, M.D.
• Dioselina Rojas
• Kaylee Rojas

• Registered Dietitian in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.