Active NPI
Carolina Cano, RDN
- Registered Dietitian
- Rancho Mission Viejo, CA
National Provider Identifier
1841023769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86344708
- Practice address
- 62 Alienta LN
Rancho Mission Viejo, CA 92694-1600 - Phone
- (818) 620-8307
- NPI assigned
- Aug 26, 2024
- 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 | 86344708 | CA | Primary |
Addresses
Primary practice location
62 Alienta LN
Rancho Mission Viejo, CA 92694-1600
Mailing address
62 Alienta LN
Rancho Mission Viejo, CA 92694-1600
Phone (818) 620-8307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
39335 Via Zaragoza
Murrieta, CA 92563-5253
62 Alienta LN
Rancho Mission Viejo, CA 92694-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86344708 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Life Nutrition Inc | Dietitian, Registered | Current | Accepting new patients |
Locations
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
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": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1841023769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 ALIENTA LN",
"city": "RANCHO MISSION VIEJO",
"state": "CA",
"postal_code": "926941600",
"telephone_number": "818-620-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 ALIENTA LN",
"city": "RANCHO MISSION VIEJO",
"state": "CA",
"postal_code": "926941600",
"telephone_number": "818-620-8307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANO",
"first_name": "CAROLINA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86344708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.