Individual provider Active NPI

John Anthony Stunja, RD, LD, CDE

  • Registered Dietitian
  • Fort Irwin, CA
National Provider Identifier
1992730352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT05475 Issued in TX
Practice address
Building 166 Inner Loop Road
Weed Army Community Hospital
Fort Irwin, CA 92310
Phone
(760) 380-5565
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DT05475 TX Primary

Addresses

Primary practice location

Building 166 Inner Loop Road
Weed Army Community Hospital
Fort Irwin, CA 92310

Mailing address

8705 Anzio St # a
Fort Irwin, CA 92310-2405
Phone (760) 386-0835

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

LicenseStateTypeSpecialty
DT05475TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992730352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 ANZIO ST # A",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923102405",
            "telephone_number": "760-386-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 166 INNER LOOP ROAD",
            "address_2": "WEED ARMY COMMUNITY HOSPITAL",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUNJA",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Irwin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.