Individual provider Active NPI

Elisa Vazquez Vega, RD

  • Registered Dietitian
  • Menlo Park, CA
National Provider Identifier
1447824719
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86113063
Practice address
870 Menlo Oaks Dr
Menlo Park, CA 94025-2354
Phone
(650) 229-4688
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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 86113063 Primary

Addresses

Primary practice location

870 Menlo Oaks Dr
Menlo Park, CA 94025-2354

Mailing address

870 Menlo Oaks Dr
Menlo Park, CA 94025-2354
Phone (650) 229-4688

Other names 1

  • Elisa Vazquez-Cobut Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1447824719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MENLO OAKS DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252354",
            "telephone_number": "650-229-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MENLO OAKS DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252354",
            "telephone_number": "650-229-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ VEGA",
        "first_name": "ELISA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86113063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "VAZQUEZ-COBUT",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.