Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John T Azevedo, RD

Individual provider Registered Dietitian · NPI 1053947564

John T Azevedo, RD is a Registered Dietitian OR Nutrition Professional in Elk Grove, California. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

9451 Windrunner Ln
Elk Grove, CA 95758-4636
Phone: (916) 668-9206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86023720 (CA)

Record details

NPI number1053947564
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedMarch 16, 2020
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021
Mailing address9451 Windrunner Ln, Elk Grove, CA 95758-4636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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