Active NPI
Marc Rey Garcia Sanchez, MS, RD, CSSD, CSOWM
- Registered Dietitian
- Livingston, CA
National Provider Identifier
1427676576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1069136
- Practice address
- 976 Olds Ave
Livingston, CA 95334-1800 - Phone
- (209) 648-6234
- NPI assigned
- Jul 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 1069136 | CA | |
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | 1069136 | CA | |
| Registered Dietitian | 133V00000X | 1069136 | CA | Primary |
Addresses
Primary practice location
976 Olds Ave
Livingston, CA 95334-1800
Mailing address
976 Olds Ave
Livingston, CA 95334-1800
Phone (209) 648-6234
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1069136 | CA | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1427676576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "976 OLDS AVE",
"city": "LIVINGSTON",
"state": "CA",
"postal_code": "953341800",
"telephone_number": "209-648-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "976 OLDS AVE",
"city": "LIVINGSTON",
"state": "CA",
"postal_code": "953341800",
"telephone_number": "209-648-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "MARC REY",
"middle_name": "GARCIA",
"credential": "MS, RD, CSSD, CSOWM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "CA",
"license": "1069136",
"primary": false
},
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": "CA",
"license": "1069136",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1069136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.