Michelle Lisa Pecheck, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86016896 Issued in CA

Practice address

408 Ponce Ave
Placentia, CA 92870-1510

Phone

(714) 469-3708

Fax

(714) 993-4041

NPI assigned

Dec 23, 2021

Last updated

Dec 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1447910963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 PONCE AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928701510",
            "telephone_number": "714-469-3708",
            "fax_number": "714-993-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 PONCE AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928701510",
            "telephone_number": "714-469-3708",
            "fax_number": "714-993-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHECK",
        "first_name": "MICHELLE",
        "middle_name": "LISA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86016896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Placentia, CA
• Providers in Placentia, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.