Individual provider Active NPI

Maria Rodelita Deypalan Odono, RD

  • Registered Dietitian
  • San Marino, CA
National Provider Identifier
1629319371
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1060567 Issued in CA
Practice address
2960 Huntington Dr # 80813
San Marino, CA 91108-2237
Phone
(626) 416-8895
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 1060567 CA Primary

Addresses

Primary practice location

2960 Huntington Dr # 80813
San Marino, CA 91108-2237

Mailing address

2960 Huntington Dr # 80813
San Marino, CA 91108-2237
Phone (626) 416-8895

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

State licenses

LicenseStateTypeSpecialty
1060567CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Dietitian Solutions, LLC Dietitian, Registered CurrentSince Mar 11, 2025 Accepting new patients

Locations

2960 Huntington Dr
#80813
San Marino, CA 91108
Phone (562) 328-9554

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1629319371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 HUNTINGTON DR # 80813",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082237",
            "telephone_number": "626-416-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 HUNTINGTON DR # 80813",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082237",
            "telephone_number": "626-416-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONO",
        "first_name": "MARIA RODELITA",
        "middle_name": "DEYPALAN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1060567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.