Individual provider Active NPI

Pedro Alexander Argueta, MPH, RDN

  • Registered Dietitian
  • Sylmar, CA
National Provider Identifier
1417577289
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86029504 Issued in CA
Practice address
13803 Foothill Blvd
Sylmar, CA 91342-3013
Phone
(818) 270-9508
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
No

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
86029504CAMDRegistered Dietitian

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86029504 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

13803 Foothill Blvd
Sylmar, CA 91342-3013

Mailing address

1560 S Ardmore Ave
Los Angeles, CA 90006-4327
Phone (323) 215-7255

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
86029504OtherCDR

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address pedroargueta@nevhc.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2020.

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1417577289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S ARDMORE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064327",
            "telephone_number": "323-215-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13803 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423013",
            "telephone_number": "818-270-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUETA",
        "first_name": "PEDRO",
        "middle_name": "ALEXANDER",
        "credential": "MPH, RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86029504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "86029504",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pedroargueta@nevhc.org",
            "affiliation": "N",
            "address_1": "13803 Foothill Blvd",
            "city": "Sylmar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913423013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.