Active NPI
Stephanie Magdaleno, RDN
- Registered Dietitian
- Pico Rivera, CA
National Provider Identifier
1952877508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86053608
- Practice address
- 9436 Slauson Ave
Pico Rivera, CA 90660-4748 - Phone
- (888) 499-9303
- NPI assigned
- Oct 22, 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 | 86053608 | CA | Primary |
Addresses
Primary practice location
9436 Slauson Ave
Pico Rivera, CA 90660-4748
Mailing address
PO Box 505
Downey, CA 90241-0505
Phone (562) 774-6735
Other practice location 1
10236 Old River School Rd Apt 1
Downey, CA 90241-2052
Phone (562) 774-6735
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 |
|---|---|---|---|
| 86053608 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Strategic Nutrition | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- stephanie.magdaleno.p1@direct.scfhc.nextgenshare.com
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": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1952877508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902410505",
"telephone_number": "562-774-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9436 SLAUSON AVE",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906604748",
"telephone_number": "888-499-9303"
}
],
"practiceLocations": [
{
"address_1": "10236 Old River School Rd Apt 1",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902412052",
"country_code": "US",
"telephone_number": "562-774-6735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGDALENO",
"first_name": "STEPHANIE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-22",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86053608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.