Individual provider Active NPI

John Paul Pizzo, R.D.

  • Registered Dietitian
  • Santee, CA
National Provider Identifier
1538280631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
719647
Practice address
9065 Edgemoor Dr
Santee, CA 92071-3037
Phone
(619) 956-2968
Fax
(619) 956-2947
NPI assigned
Apr 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 719647 Primary

Addresses

Primary practice location

9065 Edgemoor Dr
Santee, CA 92071-3037

Mailing address

4831 Mount Bigelow Dr
San Diego, CA 92111-2525
Phone (619) 956-2968

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538280631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 MOUNT BIGELOW DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112525",
            "telephone_number": "619-956-2968",
            "fax_number": "619-956-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 EDGEMOOR DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713037",
            "telephone_number": "619-956-2968",
            "fax_number": "619-956-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZO",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "719647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.