Active NPI
Luz Elena Quezada
- Registered Dietitian
- Rialto, CA
National Provider Identifier
1376118760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 19220 Cheshire St
Rialto, CA 92377-4538 - Phone
- (714) 815-4942
- NPI assigned
- May 26, 2021
- Last updated
- May 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
19220 Cheshire St
Rialto, CA 92377-4538
Mailing address
19220 Cheshire St
Rialto, CA 92377-4538
Phone (714) 815-4942
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1376118760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19220 CHESHIRE ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923774538",
"telephone_number": "714-815-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19220 CHESHIRE ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923774538",
"telephone_number": "714-815-4942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEZADA",
"first_name": "LUZ",
"middle_name": "ELENA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rialto, CA
- Maureen Leddy Pujols, LCSW
- Yasmeen Luay Qtaish
- Quantara Health Billing LLC
- Scarlett Rose Quen
- Deserae L Quezada, LCSW
- Sandra Jennifer Quintana-Steinberg, LCSW
- Alejandra Quiroz
- R Ruiz M D a Medical Corp (Rialto Clinica Medica Familiar)
- R Ruiz M D a Medical Corp (Rialto Clinica Medica Familiar)
- Rai Care Centers of Southern California II, LLC (Rai - North Riverside - Rialto)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.