NPIMap

Organization Active NPI

Marlena Tanner, RDN, LLC

  • Registered Dietitian
  • Morro Bay, CA
National Provider Identifier
1942716626
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
929304 Issued in CA
Legal business name
MARLENA TANNER, RDN, LLC
Practice address
2598 Main St
Morro Bay, CA 93442-1553
Phone
(805) 305-9911
Fax
(833) 264-5898
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Marlena Tanner, RDN, CEDS-C
Title
Owner, Manager
Phone
(805) 591-0712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 929304 CA Primary

Addresses

Primary practice location

2598 Main St
Morro Bay, CA 93442-1553

Mailing address

2598 Main St
Morro Bay, CA 93442-1553
Phone (805) 591-0712

Other practice location 1

508 Higuera St
San Luis Obispo, CA 93401-3835
Phone (805) 591-0712

Other names 1

  • The Yellow House Project Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200901002076 CA Part B Supplier - Clinic/Group Practice 1355768631 Receives reassigned benefits from 4 practitioners
Practice locations: Morro Bay, CA

National Provider Directory

National Provider Directory

Locations

508 Higuera St
San Luis Obispo, CA 93401
Phone (626) 991-0047

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1942716626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 MAIN ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421553",
            "telephone_number": "805-591-0712",
            "fax_number": "833-264-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 MAIN ST",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421553",
            "telephone_number": "805-305-9911",
            "fax_number": "833-264-5898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Higuera St",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934013835",
            "country_code": "US",
            "telephone_number": "805-591-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARLENA TANNER, RDN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "805-591-0712",
        "authorized_official_credential": "RDN, CEDS-C"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "929304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Yellow House Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morro Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.