Individual provider Active NPI

Vanessa J Stoyka

  • Registered Dietitian
  • Solana Beach, CA
National Provider Identifier
1437904638
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
852749 Issued in CA
Practice address
329 S Rios Ave
Solana Beach, CA 92075-1905
Phone
(310) 562-0844
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 852749 CA Primary

Addresses

Primary practice location

329 S Rios Ave
Solana Beach, CA 92075-1905

Mailing address

329 S Rios Ave
Solana Beach, CA 92075-1905
Phone (310) 562-0844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 17, 2024 through Oct 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
852749CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1437904638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S RIOS AVE",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751905",
            "telephone_number": "310-562-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S RIOS AVE",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751905",
            "telephone_number": "310-562-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOYKA",
        "first_name": "VANESSA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "852749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

Verify at the official NPI Registry.