Active NPI
Sandy E Cortez, RD CFT
- Registered Dietitian
- Walnut Creek, CA
National Provider Identifier
1659400612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1776 Ygnacio Valley Rd Ste 201
Walnut Creek, CA 94598-3125 - Phone
- (925) 305-1919
- Fax
- (925) 407-2838
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 0958881 | CA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1776 Ygnacio Valley Rd Ste 201
Walnut Creek, CA 94598-3125
Mailing address
1776 Ygnacio Valley Rd Ste 201
Walnut Creek, CA 94598-3125
Phone (925) 305-1919
Other practice location 1
1646 Broadway St
Vallejo, CA 94590-2405
Phone (925) 289-8785
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 |
|---|---|---|---|
| 0958881 | CA | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659400612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 YGNACIO VALLEY RD STE 201",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983125",
"telephone_number": "925-305-1919",
"fax_number": "925-407-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 YGNACIO VALLEY RD STE 201",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983125",
"telephone_number": "925-305-1919",
"fax_number": "925-407-2838"
}
],
"practiceLocations": [
{
"address_1": "1646 Broadway St",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945902405",
"country_code": "US",
"telephone_number": "925-289-8785",
"fax_number": "925-407-2838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORTEZ",
"first_name": "SANDY",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "RD CFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "0958881",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.