Organization Active NPI

SD Nutrition Group

  • Registered Dietitian
  • San Diego, CA
National Provider Identifier
1336749449
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SD NUTRITION GROUP
Practice address
4295 Gesner St Ste 3A2
San Diego, CA 92117-6646
Phone
(619) 289-8131
NPI assigned
Oct 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Mrs. Katherine Machado, M.S., R.D.NPI 1043535842
Title
Owner, Lead Dietitian
Phone
(619) 559-0488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4295 Gesner St Ste 3A2
San Diego, CA 92117-6646

Mailing address

4295 Gesner St Ste 3A2
San Diego, CA 92117-6646
Phone (619) 289-8131

Other names 1

  • In Progress Nutrition Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL kate@sdnutritiongroup.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4295 Gesner St
Ste 3A2
San Diego, CA 92117
Phone (619) 289-8131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1336749449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 GESNER ST STE 3A2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176646",
            "telephone_number": "619-289-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 GESNER ST STE 3A2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176646",
            "telephone_number": "619-289-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD NUTRITION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER, LEAD DIETITIAN",
        "authorized_official_telephone_number": "619-559-0488",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "kate@sdnutritiongroup.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4295 Gesner St Ste 3A2",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921176646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "In Progress Nutrition",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.