Active NPI
Angel Ponce, R. D.
- Metabolic Nutrition Registered Dietitian
- Fresno, CA
National Provider Identifier
1659581189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 88276
- Practice address
- 2790 S Elm Ave
Fresno, CA 93706-5435 - Phone
- (559) 457-5200
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 88276 | CA | Primary |
Addresses
Primary practice location
2790 S Elm Ave
Fresno, CA 93706-5435
Mailing address
1945 N Fine Ste #116
Human Resources
Fresno, CA 93727-1144
Phone (559) 457-5231
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 |
|---|---|---|---|
| 88276 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659581189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 N FINE STE #116",
"address_2": "HUMAN RESOURCES",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271144",
"telephone_number": "559-457-5231",
"fax_number": "559-457-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 S ELM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937065435",
"telephone_number": "559-457-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE",
"first_name": "ANGEL",
"name_prefix": "Mr.",
"credential": "R. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "88276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.