Individual provider Active NPI

Alejandra Razo, RDN

  • Registered Dietitian
  • Santa Ana, CA
National Provider Identifier
1346722436
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86116418 Issued in WA
Practice address
2212 E 4TH St Ste 301
Santa Ana, CA 92705-3873
Phone
(714) 628-3242
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 86116418 WA Primary

Addresses

Primary practice location

2212 E 4TH St Ste 301
Santa Ana, CA 92705-3873

Mailing address

2212 E 4TH St Ste 301
Santa Ana, CA 92705-3873
Phone (714) 628-3242

Other practice location 1

31405 18th Ave S
Federal Way, WA 98003-5433
Phone (253) 681-6600

Other practice location 2

26800 Crown Valley Pkwy Ste 435
Mission Viejo, CA 92691-8023
Phone (949) 542-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200518000667 WA Practitioner - Registered Dietitian Or Nutrition Professional 6709217276 Reassigns benefits to 1 organization
I20201106001411 CA Practitioner - Registered Dietitian Or Nutrition Professional 6709217276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86116418WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Oct 3, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Oct 3, 2020 Accepting new patients
Sea Mar Community Health Centers Dietitian, Registered Current Accepting new patients
Sea Mar Community Health Centers Dietitian, Registered CurrentSince Apr 13, 2020 Accepting new patients
The J. Moss Foundation Dietitian, Registered CurrentSince Jan 16, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Apr 13, 2020 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

26800 Crown Valley Pkwy
Ste 435
Mission Viejo, CA 92691
Phone (949) 542-3838

26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671

26732 Crown Valley Pkwy
Ste 151
Mission Viejo, CA 92691
Phone (949) 347-6044

26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691

2212 E 4th St
Ste 301
Santa Ana, CA 92705
Phone (714) 288-3230

31405 18th Ave S
Federal Way, WA 98003
Phone (253) 681-6600

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1346722436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 E 4TH ST STE 301",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053873",
            "telephone_number": "714-628-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 E 4TH ST STE 301",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053873",
            "telephone_number": "714-628-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31405 18th Ave S",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035433",
            "country_code": "US",
            "telephone_number": "253-681-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26800 Crown Valley Pkwy Ste 435",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918023",
            "country_code": "US",
            "telephone_number": "949-542-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZO",
        "first_name": "ALEJANDRA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "86116418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.