Active NPI
Maria Gru Hernandez, RDN
- Registered Dietitian
- Simi Valley, CA
National Provider Identifier
1801465042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1082785
- Practice address
- 28 Washburn St
Simi Valley, CA 93065-4055 - Phone
- (805) 338-0052
- NPI assigned
- Jun 22, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1082785 | CA | Primary |
Addresses
Primary practice location
28 Washburn St
Simi Valley, CA 93065-4055
Mailing address
28 Washburn St
Simi Valley, CA 93065-4055
Phone (805) 338-0052
Other names 1
- Maria Gru
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 |
|---|---|---|---|
| 1082785 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1801465042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 WASHBURN ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930654055",
"telephone_number": "805-338-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 WASHBURN ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930654055",
"telephone_number": "805-338-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRU HERNANDEZ",
"first_name": "MARIA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1082785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "GRU",
"credential": "RDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.