Tonya Larson, RD

Primary specialty

Dietary ManagerTaxonomy code 132700000X

License

86091431 Issued in CA

Practice address

4097 Trail Creek Rd
Riverside, CA 92505-5869

Phone

(909) 472-2107

NPI assigned

Oct 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1609591213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361216",
            "telephone_number": "909-472-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 TRAIL CREEK RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925055869",
            "telephone_number": "909-472-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TONYA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietary Manager",
            "state": "CA",
            "license": "86091431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Larsen, R.N, PHN
• Sarah Larsen
• Catherine Ann Larson, MD
• Marc Larson, DDS
• Steven Edwin Larson, MD
• Jennifer Laryea, FNP
• Mercedes Victoria Lasa-Hallas
• Alisia Lascano-Oropeza
• Dawn Elaine Lastimosa
• Blake Edward Laszlo

• Dietary Manager in Riverside, CA
• Providers in Riverside, CA by specialty
• Dietary Manager in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.