Ilana Celeste Ryavec-Goranson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86112557 Issued in CA

Practice address

488 Main St Ste 200B
Murphys, CA 95247-9384

Phone

(209) 559-2228

NPI assigned

Nov 28, 2018

Last updated

Nov 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1902376304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 WYLDEWOOD DR",
            "city": "MURPHYS",
            "state": "CA",
            "postal_code": "952479502",
            "telephone_number": "209-559-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 MAIN ST STE 200B",
            "city": "MURPHYS",
            "state": "CA",
            "postal_code": "952479384",
            "telephone_number": "209-559-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAVEC-GORANSON",
        "first_name": "ILANA",
        "middle_name": "CELESTE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86112557",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "19258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanaz Parsa, MD
• Ann Elizabeth Pestalozzi, MSW.MFT
• Kelley Lynn Phelps
• Angela Alicia Richards
• Kyle Lars Richards
• Sanaz Parsa MD Inc
• David Jon Simons, PHD
• Randall Smart, M.D.
• Fatemeh M Takestani, CMT
• Ryan Stewart Thompson, M.D.

• Registered Dietitian in Murphys, CA
• Providers in Murphys, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.