Individual provider Active NPI

Linda Ann Raynes Mahony, MS.RD. CDE.

  • Metabolic Nutrition Registered Dietitian
  • San Diego, CA
National Provider Identifier
1467529479
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
370262
Practice address
3500 5TH Ave Ste 301
U.C.S.D. Center for Transplantation
San Diego, CA 92103-5020
Phone
(619) 574-8612
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 370262 Primary

Addresses

Primary practice location

3500 5TH Ave Ste 301
U.C.S.D. Center for Transplantation
San Diego, CA 92103-5020

Mailing address

6986 Camino Revueltos
San Diego, CA 92111-7642
Phone (858) 565-2205

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1467529479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6986 CAMINO REVUELTOS",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117642",
            "telephone_number": "858-565-2205",
            "fax_number": "619-296-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 5TH AVE STE 301",
            "address_2": "U.C.S.D. CENTER FOR TRANSPLANTATION",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035020",
            "telephone_number": "619-574-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNES MAHONY",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS.RD. CDE.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": "370262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.