Individual provider Active NPI

Carolina Cano, RDN

  • Registered Dietitian
  • Rancho Mission Viejo, CA
National Provider Identifier
1841023769
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86344708 Issued in CA
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

Updated by the provider on Aug 26, 2024

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 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

Enrollment IDStateProvider typePAC IDDetails
I20260209003219 CA Practitioner - Registered Dietitian Or Nutrition Professional 6709365869 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
86344708CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Long Life Nutrition Inc Dietitian, Registered CurrentSince Dec 14, 2025 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.

Verify at the official NPI Registry.