Individual provider Active NPI

Maria Cynthia M. Moleno, RD,CSO

  • Registered Dietitian
  • Valencia, CA
National Provider Identifier
1982856605
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
924712 Issued in CA
Practice address
23929 McBeanpkwy
Suite #110
Valencia, CA 91355
Phone
(323) 459-7994
Fax
(661) 255-8478
NPI assigned
Oct 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 924712 CA Primary

Addresses

Primary practice location

23929 McBeanpkwy
Suite #110
Valencia, CA 91355

Mailing address

12717 Ottoman St
Arleta, CA 91331-4267
Phone (323) 459-7994

Other names 1

  • Cynthia M. Moleno Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
924712CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1982856605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12717 OTTOMAN ST",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913314267",
            "telephone_number": "323-459-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23929 MCBEANPKWY",
            "address_2": "SUITE #110",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "323-459-7994",
            "fax_number": "661-255-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLENO",
        "first_name": "MARIA CYNTHIA",
        "middle_name": "M.",
        "credential": "RD,CSO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "924712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MOLENO",
            "middle_name": "M.",
            "credential": "RD, CSO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.