Active NPI
John Jacob Quintanilla, RDN
- Registered Dietitian
- Sacramento, CA
National Provider Identifier
1801643218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86377549
- Practice address
- 1401 21St St # 10125
Sacramento, CA 95811-5226 - Phone
- (916) 249-2527
- NPI assigned
- May 2, 2024
- 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 | 86377549 | CA | Primary |
Addresses
Primary practice location
1401 21St St # 10125
Sacramento, CA 95811-5226
Mailing address
1401 21St St # 10125
Sacramento, CA 95811-5226
Phone (916) 249-2527
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 |
|---|---|---|---|
| 86377549 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Athletes Plate LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1801643218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 21ST ST # 10125",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115226",
"telephone_number": "916-249-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 21ST ST # 10125",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115226",
"telephone_number": "916-249-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANILLA",
"first_name": "JOHN",
"middle_name": "JACOB",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-02",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86377549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.