Active NPI
John Raimo, RDN
- Nutritionist
- Chester, CA
National Provider Identifier
1326405804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 130 Brentwood Dr.
Chester, CA 96020 - Phone
- (530) 258-3981
- Fax
- (530) 258-4248
- NPI assigned
- Jan 28, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary | ||
| Registered Dietitian | 133V00000X | 810702 | CA |
Addresses
Primary practice location
130 Brentwood Dr.
Chester, CA 96020
Mailing address
PO Box 3315
Quincy, CA 95971-3315
Phone (775) 250-7579
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810702 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1326405804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3315",
"city": "QUINCY",
"state": "CA",
"postal_code": "959713315",
"telephone_number": "775-250-7579",
"fax_number": "530-258-3981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 BRENTWOOD DR.",
"city": "CHESTER",
"state": "CA",
"postal_code": "96020",
"telephone_number": "530-258-3981",
"fax_number": "530-258-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIMO",
"first_name": "JOHN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-28",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "810702",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.