Individual provider Active NPI

Sara M Corder, RD, MPH

  • Registered Dietitian
  • Rancho Cucamonga, CA
National Provider Identifier
1336389113
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
890259 Issued in CA
Practice address
11450 Church St Apt 24
Rancho Cucamonga, CA 91730-3979
Phone
(909) 484-1849
NPI assigned
Mar 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 890259 CA Primary

Addresses

Primary practice location

11450 Church St Apt 24
Rancho Cucamonga, CA 91730-3979

Mailing address

11450 Church St Apt 24
Rancho Cucamonga, CA 91730-3979
Phone (909) 484-1849

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

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1336389113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 CHURCH ST APT 24",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303979",
            "telephone_number": "909-484-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 CHURCH ST APT 24",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303979",
            "telephone_number": "909-484-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDER",
        "first_name": "SARA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "890259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.