Active NPI
Marla J McGregor, RD
- Registered Dietitian
- Modesto, CA
National Provider Identifier
1821048414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 724348
- Practice address
- 1541 Florida Ave Ste 200
Modesto, CA 95350-4438 - Phone
- (209) 577-3388
- Fax
- (209) 523-7583
- NPI assigned
- May 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 724348 | CA | |
| Registered Dietitian | 133V00000X | 724348 | CA | Primary |
Addresses
Primary practice location
1541 Florida Ave Ste 200
Modesto, CA 95350-4438
Mailing address
1541 Florida Ave Ste 200
Modesto, CA 95350-4438
Phone (209) 577-3388
Other practice location 1
426 14th St
Suite 114
Modesto, CA 95354-2660
Phone (209) 602-8522
Other practice location 2
1144 Norman Dr Ste 203B
Manteca, CA 95336-5960
Phone (209) 577-3388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C265180 | Medicaid | CA |
Other names 1
- Marla J Nawrocki
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724348 | CA | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | 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.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1912264862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1821048414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE STE 200",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504438",
"telephone_number": "209-577-3388",
"fax_number": "209-523-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE STE 200",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504438",
"telephone_number": "209-577-3388",
"fax_number": "209-523-7583"
}
],
"practiceLocations": [
{
"address_1": "426 14th St",
"address_2": "Suite 114",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953542660",
"country_code": "US",
"telephone_number": "209-602-8522",
"fax_number": "209-571-0007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1144 Norman Dr Ste 203B",
"address_purpose": "LOCATION",
"city": "Manteca",
"state": "CA",
"postal_code": "953365960",
"country_code": "US",
"telephone_number": "209-577-3388",
"fax_number": "209-523-7583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGREGOR",
"first_name": "MARLA",
"middle_name": "J",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": "724348",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "724348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C265180",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARLA",
"last_name": "NAWROCKI",
"middle_name": "J",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.