Active NPI
Emily Mac
- Registered Dietitian
- West Covina, CA
National Provider Identifier
1760394092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86147738
- Practice address
- 543 N Morada Ave
West Covina, CA 91790-1730 - Phone
- (626) 283-0412
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Sex
- Female
- 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 | 86147738 | CA | Primary |
Addresses
Primary practice location
543 N Morada Ave
West Covina, CA 91790-1730
Mailing address
543 N Morada Ave
West Covina, CA 91790-1730
Phone (626) 283-0412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1760394092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 N MORADA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901730",
"telephone_number": "626-283-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 N MORADA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901730",
"telephone_number": "626-283-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAC",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86147738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.