Maxine Rostolder, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

5030 Bonita Rd
Suite B
Bonita, CA 91902-1700

Phone

(619) 479-7473

NPI assigned

Jan 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Candelario Chiropractic a Professional Corporation

  • Chiropractor
  • Bonita, CA
  • NPI 1225189905
  NPD

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1780005041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BONITA RD",
            "address_2": "SUITE B",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BONITA RD",
            "address_2": "SUITE B",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021700",
            "telephone_number": "619-479-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTOLDER",
        "first_name": "MAXINE",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos M Quiros, MD
• Rise Medical Center a Professional Corporation
• Daniela Rodriguez
• Juan Carlos Rodriguez, MD
• Maria Olivia Rosillo Sr., LMFT
• Roy Huvala - Psychological Corporation
• Rune ABA
• Ryan Johnson
• Melad Sada, PHARMD
• Bernadette Sakiyama, CMT

• Registered Dietitian in Bonita, CA
• Providers in Bonita, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.