Individual provider Active NPI

Sandy E Cortez, RD CFT

  • Registered Dietitian
  • Walnut Creek, CA
National Provider Identifier
1659400612
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 0958881 CA
Metabolic Nutrition Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
0958881CAMDNutrition 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.

Verify at the official NPI Registry.