Active NPI
Jessica Angel-Quintero, MS, RD
- Registered Dietitian
- Rancho Cucamonga, CA
National Provider Identifier
1891295093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86031675
- Practice address
- 10535 Foothill Blvd Ste 365
Rancho Cucamonga, CA 91730-7602 - Phone
- (909) 466-8810
- NPI assigned
- Feb 15, 2018
- 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 | 86031675 | CA | Primary |
Addresses
Primary practice location
10535 Foothill Blvd Ste 365
Rancho Cucamonga, CA 91730-7602
Mailing address
1584 N Euclid Ave
Upland, CA 91786-2303
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuel Shop LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1891295093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1584 N EUCLID AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917862303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 FOOTHILL BLVD STE 365",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307602",
"telephone_number": "909-466-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL-QUINTERO",
"first_name": "JESSICA",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86031675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.