Individual provider Active NPI

June Gnass, RD

  • Registered Dietitian
  • Durham, CA
National Provider Identifier
1457394728
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
718809 Issued in CA
Practice address
1900 Sycamore LN
Durham, CA 95938-9744
Phone
(530) 891-9357
Fax
(530) 894-5252
NPI assigned
Jun 14, 2006
Last updated
Dec 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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 718809 CA Primary

Addresses

Primary practice location

1900 Sycamore LN
Durham, CA 95938-9744

Mailing address

1900 Sycamore LN
Durham, CA 95938-9744
Phone (530) 891-9357

Other identifiers 1

IdentifierTypeStateIssuer
P00327280OtherCAMEDICARE RAILROAD PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000519 CA Practitioner - Registered Dietitian Or Nutrition Professional 2668363490 Practice locations: Chico, CA; Durham, CA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Sycamore LN
Durham, CA 95938-9744
Phone (530) 891-9357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
718809CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mona I Sarbu 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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1457394728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SYCAMORE LN",
            "city": "DURHAM",
            "state": "CA",
            "postal_code": "959389744",
            "telephone_number": "530-891-9357",
            "fax_number": "530-894-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SYCAMORE LN",
            "city": "DURHAM",
            "state": "CA",
            "postal_code": "959389744",
            "telephone_number": "530-891-9357",
            "fax_number": "530-894-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNASS",
        "first_name": "JUNE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "718809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00327280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.

Verify at the official NPI Registry.