Active NPI
Pedro Geovanny Paz, RD, MPH
- Registered Dietitian
- Pasadena, CA
National Provider Identifier
1700182060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 914599
- Practice address
- 2781 Heritage Dr
Pasadena, CA 91107-5914 - Phone
- (951) 662-5137
- Fax
- (626) 798-8358
- NPI assigned
- Feb 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 914599 | ||
| Nutrition Education Nutritionist | 133NN1002X | 914599 | ||
| Registered Dietitian | 133V00000X | 914599 | Primary | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 914599 | ||
| Renal Nutrition Registered Dietitian | 133VN1005X | 914599 | ||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 914599 |
Addresses
Primary practice location
2781 Heritage Dr
Pasadena, CA 91107-5914
Mailing address
2781 Heritage Dr
Pasadena, CA 91107-5914
Phone (951) 662-5137
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1700182060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2781 HERITAGE DR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911075914",
"telephone_number": "951-662-5137",
"fax_number": "626-798-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 HERITAGE DR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911075914",
"telephone_number": "951-662-5137",
"fax_number": "626-798-8358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAZ",
"first_name": "PEDRO",
"middle_name": "GEOVANNY",
"credential": "RD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": "914599",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": "914599",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "914599",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": "914599",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": "914599",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": "914599",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.