Active NPI
Janelle Anne Mercuro, RD
- Registered Dietitian
- San Clemente, CA
National Provider Identifier
1760984835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 4 W Avenida San Gabriel
San Clemente, CA 92672-3263 - Phone
- (949) 370-0829
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 818790 | CA | |
| Registered Dietitian | 133V00000X | CA | Primary |
Addresses
Primary practice location
4 W Avenida San Gabriel
San Clemente, CA 92672-3263
Mailing address
4 W Avenida San Gabriel
San Clemente, CA 92672-3263
Phone (949) 370-0829
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 818790 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1760984835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 W AVENIDA SAN GABRIEL",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926723263",
"telephone_number": "949-370-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 W AVENIDA SAN GABRIEL",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926723263",
"telephone_number": "949-370-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCURO",
"first_name": "JANELLE",
"middle_name": "ANNE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "818790",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
- Stephanie Michelle Melara
- Marissa Melhuse, LCSW
- Christopher Melville, MD
- Memorialcare Imaging Center at San Clemente, LLC
- Veena Menda, M.D
- Meighan Bartholomew Merono, PHARMD
- Mark Metildi, D.C.
- Metz-Schade Corp. (Family Hearing & Speech)
- Michael a. Shannon, D.D.S., M.S., Inc
- Michael L Kreutz Chiropractic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.