Active NPI
Diana Carrillo-Valle, RD
- Registered Dietitian
- Napa, CA
National Provider Identifier
1972330736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86379536
- Practice address
- 300 Hartle CT
Napa, CA 94559-4078 - Phone
- (707) 603-8921
- NPI assigned
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 86379536 | Primary |
Addresses
Primary practice location
300 Hartle CT
Napa, CA 94559-4078
Mailing address
4439 Meadow Valley Cir
Fairfield, CA 94534-6676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ole Health | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Ole Health | Past | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
300 Hartle Ct
Napa, CA 94559
Phone (707) 254-1775
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1700976503
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1245043165
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1447687330
-
- Federally Qualified Health Center (FQHC)
- Davis, CA
- NPI 1558366823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1972330736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4439 MEADOW VALLEY CIR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945346676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HARTLE CT",
"city": "NAPA",
"state": "CA",
"postal_code": "945594078",
"telephone_number": "707-603-8921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO-VALLE",
"first_name": "DIANA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86379536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.