Individual provider Active NPI

Rebecca W Pascual, RDN

  • Registered Dietitian
  • Los Osos, CA
National Provider Identifier
1821608290
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86148106
Practice address
1280 6TH St
Los Osos, CA 93402-1215
Phone
(805) 503-2327
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86148106 Primary

Addresses

Primary practice location

1280 6TH St
Los Osos, CA 93402-1215

Mailing address

1280 6TH St
Los Osos, CA 93402-1215
Phone (805) 503-2327

Other practice location 1

1560 Mesa Rd
Ste 100
Nipomo, CA 93444
Phone (805) 614-5640

Other practice location 2

117 W Bunny Ave
Santa Maria, CA 93458-2805
Phone (805) 739-3890

Other practice location 3

697 W Tefft St
Nipomo, CA 93444-9190
Phone (805) 929-2272

Other practice location 4

2271 S Depot St
Santa Maria, CA 93455-1216
Phone (805) 922-0561

Other practice location 5

235 S Palisade Dr
Santa Maria, CA 93454-5948
Phone (805) 739-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819003589 CA Practitioner - Registered Dietitian Or Nutrition Professional 4981633377 Practice locations: Los Osos, CA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1280 6TH St
Los Osos, CA 93402-1215
Phone (805) 503-2327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers 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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1821608290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 6TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021215",
            "telephone_number": "805-503-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 6TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021215",
            "telephone_number": "805-503-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Mesa Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Nipomo",
            "state": "CA",
            "postal_code": "93444",
            "country_code": "US",
            "telephone_number": "805-614-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 W Bunny Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934582805",
            "country_code": "US",
            "telephone_number": "805-739-3890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "697 W Tefft St",
            "address_purpose": "LOCATION",
            "city": "Nipomo",
            "state": "CA",
            "postal_code": "934449190",
            "country_code": "US",
            "telephone_number": "805-929-2272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2271 S Depot St",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934551216",
            "country_code": "US",
            "telephone_number": "805-922-0561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 S Palisade Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545948",
            "country_code": "US",
            "telephone_number": "805-739-3561",
            "fax_number": "805-739-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "REBECCA",
        "middle_name": "W",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86148106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Osos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.