Active NPI
Sophia Villicana Coria, BS, RD
- Registered Dietitian
- Littlerock, CA
National Provider Identifier
1851993638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86172676
- Practice address
- 7303 Peachtree LN
Littlerock, CA 93543-3004 - Phone
- (661) 839-2011
- NPI assigned
- Nov 16, 2020
- Last updated
- Nov 16, 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 | 86172676 | CA | Primary |
Addresses
Primary practice location
7303 Peachtree LN
Littlerock, CA 93543-3004
Mailing address
7303 Peachtree LN
Littlerock, CA 93543-3004
Phone (661) 839-2011
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86172676 | CA | MD | Registered Dietitian |
Interoperability endpoints
- sophia.villicanard.p1@direct.jwch.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1851993638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7303 PEACHTREE LN",
"city": "LITTLEROCK",
"state": "CA",
"postal_code": "935433004",
"telephone_number": "661-839-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7303 PEACHTREE LN",
"city": "LITTLEROCK",
"state": "CA",
"postal_code": "935433004",
"telephone_number": "661-839-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLICANA CORIA",
"first_name": "SOPHIA",
"credential": "BS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86172676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littlerock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.