Individual provider Active NPI

Sofia Ramirez Sepulveda Wrentmore, RD, MS

  • Registered Dietitian
  • San Diego, CA
National Provider Identifier
1831603224
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86092990 Issued in CA
Practice address
10891 Via Lombardia Apt 2505
San Diego, CA 92129-1677
Phone
(805) 729-0970
NPI assigned
Nov 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86092990 CA Primary

Addresses

Primary practice location

10891 Via Lombardia Apt 2505
San Diego, CA 92129-1677

Mailing address

10891 Via Lombardia Apt 2505
San Diego, CA 92129-1677
Phone (805) 729-0970

Other names 1

  • Sofia Lorena Ramirez Sepulveda Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86092990CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1831603224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10891 VIA LOMBARDIA APT 2505",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291677",
            "telephone_number": "805-729-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10891 VIA LOMBARDIA APT 2505",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291677",
            "telephone_number": "805-729-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENTMORE",
        "first_name": "SOFIA",
        "middle_name": "RAMIREZ SEPULVEDA",
        "name_prefix": "Mrs.",
        "credential": "RD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86092990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOFIA",
            "last_name": "RAMIREZ SEPULVEDA",
            "middle_name": "LORENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.