Active NPI
Victoria Cimino
- Registered Dietitian
- Oceanside, CA
National Provider Identifier
1851999759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 086049949
- Practice address
- 322 Fowles St
Oceanside, CA 92054-4523 - Phone
- (570) 350-1832
- NPI assigned
- Oct 13, 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 | 086049949 | CA | Primary |
Addresses
Primary practice location
322 Fowles St
Oceanside, CA 92054-4523
Mailing address
322 Fowles St
Oceanside, CA 92054-4523
Phone (570) 350-1832
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086049949 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1851999759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 FOWLES ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920544523",
"telephone_number": "570-350-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 FOWLES ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920544523",
"telephone_number": "570-350-1832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIMINO",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "086049949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.