Active NPI
Guadalupe M Alfaro Cabrera, RDN
- Registered Dietitian
- Reseda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86060280
- Practice address
- 19230 Wyandotte St Unit 6
Reseda, CA 91335-3580 - Phone
- (323) 872-3404
- NPI assigned
- Mar 18, 2019
- Last updated
- Feb 9, 2024
- 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 | 86060280 | CA | Primary |
Addresses
Primary practice location
19230 Wyandotte St Unit 6
Reseda, CA 91335-3580
Mailing address
19230 Wyandotte St Unit 6
Reseda, CA 91335-3580
Phone (323) 872-3404
Other practice location 1
2212 E 4th St Ste 301
Santa Ana, CA 92705-3873
Phone (714) 618-9540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86060280 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
File 50670
Los Angeles, CA 90074
11333 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 365-9531
18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
2212 E 4th St
Ste 301
Santa Ana, CA 92705
Phone (714) 288-3230
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Facey Medical Group
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
dba Providence Express Care
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1972062065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19230 WYANDOTTE ST UNIT 6",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353580",
"telephone_number": "323-872-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19230 WYANDOTTE ST UNIT 6",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353580",
"telephone_number": "323-872-3404"
}
],
"practiceLocations": [
{
"address_1": "2212 E 4th St Ste 301",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053873",
"country_code": "US",
"telephone_number": "714-618-9540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALFARO CABRERA",
"first_name": "GUADALUPE",
"middle_name": "M",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86060280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
- Air Care Medical Supply Inc (Air Care Home Medical)
- Mallory Akol
- Ana Luisa Aktutay, PPS
- Eileen A Alba
- Albertsons LLC (Savon Pharmacy #2305)
- Algos Inc., a Medical Corporation (Synovation Medical Group)
- Adizatu Alhassan
- All Comfort Board and Care, Inc.
- All in Solutions Detox Ca LLC. (All In Solutions Detox CA)
- All State Patient Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.