Amanda Claire Maestas, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86070054 Issued in CA

Practice address

2350 W Shaw Ave Ste 106
Fresno, CA 93711-3412

Phone

(559) 451-0460

NPI assigned

Dec 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Department of Veterans Affairs of the State of CaliforniaGroup PAC ID 6507099520, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Department of Veterans Affairs of the State of California

  • Skilled Nursing Facility
  • Redding, CA
  • NPI 1396165353
  Medicare reassignment Care Compare group NPD
• Department of Veterans Affairs of the State of California

  • Skilled Nursing Facility
  • Fresno, CA
  • NPI 1770903775
  NPD
• Department of Veterans Affairs of the State of California

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1821316076
  NPD

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1609588748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARIA AVE S",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368088",
            "telephone_number": "559-800-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W SHAW AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113412",
            "telephone_number": "559-451-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTAS",
        "first_name": "AMANDA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86070054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amanda@nutritiontherapyessentials.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted Email",
            "address_1": "2350 W Shaw Ave Ste 106",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937113412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua S Madsen, M.D.
• Paul Madsen, M.D.
• Madson Care LLC
• Kristen Madson, LMFT
• Louisa Garza Maduro, ASW
• Ebony Victoria Nicole Maeweather
• Tom Joe Maez, PHARM.D.
• Nadia Maffo
• Parham Mafi, MD
• Magallanes Chiropractic Group Inc

• Registered Dietitian in Fresno, CA
• Providers in Fresno, 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 20, 2022; 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.