Active NPI
Lucia Canul, RD
- Registered Dietitian
- Newport Beach, CA
National Provider Identifier
1376006924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86096940
- Practice address
- 9413 Bison Ave
Newport Beach, CA 92658-9413 - Phone
- (949) 241-3544
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 86096940 | Primary |
Addresses
Primary practice location
9413 Bison Ave
Newport Beach, CA 92658-9413
Mailing address
PO Box 9413
Newport Beach, CA 92658-9413
Other names 1
- Lucia Canul
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1376006924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9413",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926589413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9413 BISON AVE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926589413",
"telephone_number": "949-241-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANUL",
"first_name": "LUCIA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2021-05-17",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86096940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUCIA",
"last_name": "CANUL",
"credential": "RD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.