Active NPI
Alyssa M Scotese, RDN
- Registered Dietitian
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86108525
- Practice address
- 425 N California St Ste 7
Stockton, CA 95202-2130 - Phone
- (209) 870-5000
- NPI assigned
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 86108525 | OH | Primary |
Addresses
Primary practice location
425 N California St Ste 7
Stockton, CA 95202-2130
Mailing address
425 N California St Ste 7
Stockton, CA 95202-2130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86108525 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Nourished Roots, LLC | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients |
Locations
515 S Flower St
#1015
Los Angeles, CA 90071
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
701 E Channel St
Stockton, CA 95202
Phone (209) 944-4700
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Esparto Family Practice
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Health Maintenance Organization
- North Salt Lake, UT
- NPI 1982462495
-
dba Community Medical Centers, Lodi East
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Clinic/Center
- Stockton, CA
- NPI 1669720157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1417592593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N CALIFORNIA ST STE 7",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N CALIFORNIA ST STE 7",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022130",
"telephone_number": "209-870-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTESE",
"first_name": "ALYSSA",
"middle_name": "M",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "86108525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.