NPIMap

Organization Active NPI

MV Nutrition, LLC

  • Registered Dietitian
  • San Francisco, CA
National Provider Identifier
1972815827
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
439198 Issued in CA
Legal business name
MV NUTRITION, LLC
Practice address
760 Market St
Suite 324
San Francisco, CA 94102-2401
Phone
(415) 398-2102
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Manuel VillacortaNPI 1710018189
Title
Sole Proprietor/Registered Dieitian
Phone
(415) 398-2102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 439198 CA Primary

Addresses

Primary practice location

760 Market St
Suite 324
San Francisco, CA 94102-2401

Mailing address

760 Market St
Suite 324
San Francisco, CA 94102-2401
Phone (415) 398-2102

National Provider Directory

National Provider Directory

Locations

760 Market St
#324
San Francisco, CA 94102
Phone (415) 398-2102

760 Market St
Ste 324
San Francisco, CA 94102
Phone (415) 398-2102

Practitioners & affiliated clinicians

Practitioners 2

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": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1972815827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MARKET ST",
            "address_2": "SUITE 324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022401",
            "telephone_number": "415-398-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MARKET ST",
            "address_2": "SUITE 324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022401",
            "telephone_number": "415-398-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MV NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "VILLACORTA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/REGISTERED DIEITIAN",
        "authorized_official_telephone_number": "415-398-2102"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "439198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.