Earl Justin Macaso, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1014480 Issued in CA

Practice address

1350 W Covina Blvd
San Dimas, CA 91773-3245

Phone

(909) 581-4324

NPI assigned

Apr 28, 2010

Last updated

Apr 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1386961456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 VIA PALMA",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W COVINA BLVD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733245",
            "telephone_number": "909-581-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASO",
        "first_name": "EARL JUSTIN",
        "name_prefix": "Mr.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1014480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina McPhail Lucero
• Jeanette Luna, LMFT
• Melody Yan-Yan Ma
• Ashley Macabasco
• Valerie Macaraan
• Rosa Macias-Pineda
• George M Madanat, MD
• Lana Madanat, MSN, RN, CPNP
• Michael G Madanat, M.D.
• Ronald Craig Maddox, D.D.S.

• Registered Dietitian in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.