Active NPI
Maria Carmen Ines Cabrera Nevalga, RDN
- Registered Dietitian
- Daly City, CA
National Provider Identifier
1851910806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 395 Hickey Blvd
Daly City, CA 94015-2770 - Phone
- (650) 301-4445
- NPI assigned
- Apr 9, 2020
- 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 | Primary |
Addresses
Primary practice location
395 Hickey Blvd
Daly City, CA 94015-2770
Mailing address
395 Hickey Blvd
Daly City, CA 94015-2770
Phone (650) 301-4445
Other names 1
- Carines Nevalga
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | EPIC | Health Information Exchange (HIE) | |
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | 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": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1851910806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 HICKEY BLVD",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152770",
"telephone_number": "650-301-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 HICKEY BLVD",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152770",
"telephone_number": "650-301-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVALGA",
"first_name": "MARIA CARMEN INES",
"middle_name": "CABRERA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-09",
"last_updated": "2022-02-11",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "EPIC",
"affiliation": "N",
"endpointDescription": "Electronic Health Record",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "395 Hickey Blvd",
"city": "Daly City",
"state": "CA",
"country_code": "US",
"postal_code": "940152770",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1200 El Camino Real",
"city": "South San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "94080",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CARINES",
"last_name": "NEVALGA",
"credential": "RDN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.