Individual provider Active NPI

Natasha Leeann Chong, MPH, RD

  • Registered Dietitian
  • Murrieta, CA
National Provider Identifier
1699069781
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
01069524 Issued in CA
Practice address
25470 Medical Center Dr
Suite 203
Murrieta, CA 92562-4900
Phone
(951) 973-7290
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 01069524 CA Primary
Registered Dietitian 133V00000X DT82041 TX

Addresses

Primary practice location

25470 Medical Center Dr
Suite 203
Murrieta, CA 92562-4900

Mailing address

25470 Medical Center Dr
Suite 203
Murrieta, CA 92562-4900

Other names 1

  • Natasha Leann Gaban-Chong Other name

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
01069524CAMDRegistered Dietitian
DT82041TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1699069781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "SUITE 203",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "SUITE 203",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900",
            "telephone_number": "951-973-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "NATASHA",
        "middle_name": "LEEANN",
        "credential": "MPH, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "01069524",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "GABAN-CHONG",
            "middle_name": "LEANN",
            "credential": "MPH, RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.