Individual provider Active NPI

Rochelle Renee Anzaldo, RDN

  • Registered Dietitian
  • Bakersfield, CA
National Provider Identifier
1629617758
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
948907 Issued in CA
Practice address
100 Old River Rd
Bakersfield, CA 93311-8823
Phone
(661) 663-4859
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 948907 CA Primary

Addresses

Primary practice location

100 Old River Rd
Bakersfield, CA 93311-8823

Mailing address

905 Calzada CT
Bakersfield, CA 93309-2705
Phone (661) 303-1354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022002204 CA Practitioner - Registered Dietitian Or Nutrition Professional 4183044688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Diabetes Tutor IncGroup PAC ID 1850712159, 20 clinicians

Practice addresses (Care Compare)

515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone (844) 623-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
948907CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
My Diabetes Tutor Inc Dietitian, Registered CurrentSince Oct 1, 2020 Accepting new patients
Shingletown Medical Center Past Accepting new patients
Central Valley Endocrinology, a Professional Corporation Past Accepting new patients

Locations

515 W Grangeville Blvd
Hanford, CA 93230
Phone (559) 587-1100

Interoperability endpoints

  • Direct secure messaging: rochelle.anzaldo@baihp.directbygreenway.com

Organizations & group practices 3

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1629617758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CALZADA CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092705",
            "telephone_number": "661-303-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD RIVER RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118823",
            "telephone_number": "661-663-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZALDO",
        "first_name": "ROCHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "948907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.