Active NPI
Elizabeth Castillejo
- Registered Dietitian
- Nipomo, CA
National Provider Identifier
1609319045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 913637
- Practice address
- 150 Tejas PL
Nipomo, CA 93444-9123 - Phone
- (805) 929-3211
- Fax
- (805) 929-6359
- NPI assigned
- Dec 1, 2016
- Last updated
- Dec 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 913637 | CA | Primary |
Addresses
Primary practice location
150 Tejas PL
Nipomo, CA 93444-9123
Mailing address
2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8028
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 913637 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1609319045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 S BLOSSER RD",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587310",
"telephone_number": "805-361-8028",
"fax_number": "805-361-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 TEJAS PL",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934449123",
"telephone_number": "805-929-3211",
"fax_number": "805-929-6359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLEJO",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "913637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nipomo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.