Individual provider Active NPI

Gabriela Espinoza, RD, CDCES

  • Registered Dietitian
  • Lake Elsinore, CA
National Provider Identifier
1386188373
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86044651 Issued in CA
Practice address
1035 Meadowlake LN
Lake Elsinore, CA 92530-5353
Phone
(562) 316-8857
NPI assigned
Dec 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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 86044651 CA Primary

Addresses

Primary practice location

1035 Meadowlake LN
Lake Elsinore, CA 92530-5353

Mailing address

1035 Meadowlake LN
Lake Elsinore, CA 92530-5353
Phone (562) 316-8857

Other practice location 1

4425 S Central Ave
Los Angeles, CA 90011-3629
Phone (323) 908-4200

Other practice location 2

1500 W West Covina Pkwy
West Covina, CA 91790-2708
Phone (626) 960-9414

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

State licenses

LicenseStateTypeSpecialty
86044651CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gabriela.espinoza.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: gabriela.espinoza.p1@direct.scfhc.nextgenshare.com
  • Direct secure messaging: gabriela.espinoza.d1.p1@direct.scfhc.nextgenshare.com

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": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1386188373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 MEADOWLAKE LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925305353",
            "telephone_number": "562-316-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 MEADOWLAKE LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925305353",
            "telephone_number": "562-316-8857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900113629",
            "country_code": "US",
            "telephone_number": "323-908-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W West Covina Pkwy",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902708",
            "country_code": "US",
            "telephone_number": "626-960-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "GABRIELA",
        "credential": "RD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86044651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.