Rene Gaeta, RD
Individual provider Active NPI Registered Dietitian · Alpine, CA
NPI 1740158641 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1740158641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86150586 (CA)
- Practice address
- 4058 Willows Rd
Alpine, CA 91901-1668 - Phone
- (619) 445-1188
- NPI assigned
- Oct 23, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Indian Health Council
Practice addresses (Care Compare)
4058 Willows Rd
Alpine, CA 91901-1668
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260420003687 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 0345716981 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86150586 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86150586 | CA | Yes |
Addresses
Primary practice location
4058 Willows Rd
Alpine, CA 91901-1668
Mailing address
2766 Worden St
San Diego, CA 92110-5704
Phone (213) 562-9539
Other providers in Alpine, CA
- Jessica Lynne Fonte
- Clinton Robert Friday
- Jennifer Kugel Fritz
- Ashley Fuller
- Fusion Care Group, a Psychological Professional Corporation
- Corinna Marie Garcia
- Terri L Garcia
- Gregory Bernard Garrett
- Kaylyn Gatto
- Brooke Ashley Geest
All providers in Alpine, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.