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

Ricky Marderossian

Individual provider Registered Dietitian · NPI 1215873500

Ricky Marderossian is a Registered Dietitian in Austin, Texas. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3724 Jefferson St Ste 104
Austin, TX 78731-6204
Phone: (714) 470-0423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1215873500
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address2222 W Sombra Ave, Apache Junction, AZ 85120-1191

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