Organization Active NPI

Isabella Gallardo Nutrition LLC

  • Registered Dietitian
  • San Diego, CA
National Provider Identifier
1356031926
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Isabella Gallardo, MS, RDNNPI 1215688486
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.