Individual provider Active NPI

Margarita Vallin, REGISTERED DIETITIAN

  • Registered Dietitian
  • Fresno, CA
National Provider Identifier
1376237057
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86147157 Issued in CA
Practice address
4438 E Nevada Ave
Fresno, CA 93702-2350
Phone
(559) 785-8984
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 86147157 CA Primary

Addresses

Primary practice location

4438 E Nevada Ave
Fresno, CA 93702-2350

Mailing address

4438 E Nevada Ave
Fresno, CA 93702-2350
Phone (559) 785-8984

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

State licenses

LicenseStateTypeSpecialty
86147157CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Dietetic Services Incorporated Dietitian, Registered PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1376237057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4438 E NEVADA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937022350",
            "telephone_number": "559-785-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 E NEVADA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937022350",
            "telephone_number": "559-785-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLIN",
        "first_name": "MARGARITA",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86147157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.