MARCO VINICIO VASQUEZ (NPI# 1902169451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902169451 |
| Entity Type | Individual |
| Full Name | MARCO VINICIO VASQUEZ |
| Practice Address |
15262 River Rock Dr Fontana CA 92336 |
| Mailing Address |
15262 River Rock Dr Fontana CA 92336-5344 |
| Practice Telephone | 9096895065 |
| Mailing Telephone | 9096895065 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 951991 | CA | Dietary & Nutritional Service Providers |
| Street Address |
15262 RIVER ROCK DR |
| City | FONTANA |
| State | CA |
| Zip Code | 92336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149866 | Kanika Bhatia | Dietitian, Registered | 15699 Pecan Ln, Fontana, CA 92337-9074 | 2020-09-18 |
| 1427669837 | Marilu Romero | Dietitian, Registered | 7395 Ferndale Ave, Fontana, CA 92336-3023 | 2020-08-11 |
| 1154969400 | Michelle Nguyen Huynh | Dietitian, Registered | 14252 Madera Ct, Fontana, CA 92336-3780 | 2019-12-17 |
| 1437630324 | Bobby Lou Moll | Dietitian, Registered | 11967 Savona Dr., Fontana, CA 92337 | 2018-08-28 |
| 1023521432 | Rachel Flores | Dietitian, Registered | 15517 Elaine Dr, Fontana, CA 92336-3143 | 2017-11-07 |
| 1942733373 | Setera Pervain | Dietitian, Registered | 16131 Lake Padden Ln, Fontana, CA 92336-5822 | 2017-04-04 |
| 1689020463 | Paul Fraire | Dietitian, Registered | 7034 Nebraska St, Fontana, CA 92336-0822 | 2016-05-11 |
| 1427205129 | Natasha Deneen Knoten | Dietitian, Registered | 9510 Olive St, Apt 6, Fontana, CA 92335-2425 | 2008-08-25 |
| 1205025731 | Karen Garcia-herrera | Dietitian, Registered | 17296 Slover Ave, Palm Court 1, Fontana, CA 92337 | 2007-10-22 |
| 1801919675 | Cynthia Edick Gutierrez | Dietitian, Registered | 99621 Sierra Ave, Fontana, CA 92335 | 2007-04-09 |
| Find all providers in FONTANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.