Active NPI
Isabella Gallardo Nutrition LLC
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1356031926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ISABELLA GALLARDO NUTRITION LLC
- Practice address
- 482 W San Ysidro Blvd # 1514
San Diego, CA 92173-2444 - Phone
- (000) 000-0000
- NPI assigned
- May 8, 2023
- Last updated
- Jul 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isabella Gallardo, MS, RDN
- Title
- Owner, Registered Dietitian
- Phone
- (619) 496-4132
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | NU | ||
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
482 W San Ysidro Blvd # 1514
San Diego, CA 92173-2444
Mailing address
482 W San Ysidro Blvd # 1514
San Diego, CA 92173-2444
National Provider Directory
National Provider DirectoryLocations
482 W San Ysidro Blvd
#1514
San Ysidro, CA 92173
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690502400000",
"number": "1356031926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "482 W SAN YSIDRO BLVD # 1514",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921732444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "482 W SAN YSIDRO BLVD # 1514",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921732444",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISABELLA GALLARDO NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-08",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A",
"authorized_official_last_name": "GALLARDO",
"authorized_official_first_name": "ISABELLA",
"authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
"authorized_official_telephone_number": "619-496-4132",
"authorized_official_credential": "MS, RDN"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.