Individual provider Active NPI

Christal Marth, RDN

  • Registered Dietitian
  • El Cajon, CA
National Provider Identifier
1336872860
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86146947 Issued in CA
Practice address
1306 Broadway
El Cajon, CA 92021-5810
Phone
(619) 551-7408
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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 86146947 CA Primary

Addresses

Primary practice location

1306 Broadway
El Cajon, CA 92021-5810

Mailing address

610 Bentwood Dr
El Cajon, CA 92021-1108
Phone (619) 504-0851

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmarth@stpaulspace.org Direct Community Eldercare San Diego

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

LicenseStateTypeSpecialty
86146947CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1336872860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BENTWOOD DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920211108",
            "telephone_number": "619-504-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215810",
            "telephone_number": "619-551-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTH",
        "first_name": "CHRISTAL",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86146947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmarth@stpaulspace.org",
            "affiliation": "Y",
            "endpointDescription": "secure work email",
            "affiliationName": "Community Eldercare San Diego",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1306 Broadway",
            "city": "El Cajon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920215810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.