Metabolic Nutrition Program

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

METABOLIC NUTRITION PROGRAM

Practice address

2505 Samaritan Drive
Suite 405
San Jose, CA 95124

Phone

(408) 358-5326

Fax

(408) 356-6923

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Judi Turetzky

Title

Program Manager

Phone

(408) 358-5326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720292287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DRIVE",
            "address_2": "SUITE 405",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-5326",
            "fax_number": "408-356-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DRIVE",
            "address_2": "SUITE 405",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-5326",
            "fax_number": "408-356-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABOLIC NUTRITION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURETZKY",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "408-358-5326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nigest Assefa Mesele, LVN
• Stanley Fernando Mesen, PMHNP
• Rachel Rose Gemilo Mesias
• Charlowe Mesina, MA
• Mestish Mobility LLC
• Metamorph, Inc.
• Johari Metobo
• Doug Metz, DPM
• Katherine Martin Metz
• Jamie Marie Meurell

• Medical Specialty Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.