Active NPI
Rene Gaeta, RD
- Registered Dietitian
- Alpine, CA
National Provider Identifier
1740158641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86150586
- Practice address
- 4058 Willows Rd
Alpine, CA 91901-1668 - Phone
- (619) 445-1188
- NPI assigned
- Oct 23, 2025
- Last updated
- Oct 23, 2025
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86150586 | CA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4058 Willows Rd
Alpine, CA 91901-1668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86150586 | CA | MD | Registered Dietitian |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1740158641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2766 WORDEN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105704",
"telephone_number": "213-562-9539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4058 WILLOWS RD",
"city": "ALPINE",
"state": "CA",
"postal_code": "919011668",
"telephone_number": "619-445-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAETA",
"first_name": "RENE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86150586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.