Dietitian, Registered

Address: 12240 Venice Blvd Ste 30, Los Angeles, CA 90066-3891

PERSONALIZED NUTRITION COUNSELING LLC (NPI# 1093305625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093305625
Entity Type Organization
Practice Address 12240 Venice Blvd Ste 30
Los Angeles
CA 90066-3891
Practice Telephone 9496895039
Mailing Address 1 Vacaville
CA 92602-0915
Mailing Telephone 9496895039
Certification Date 2021-01-18
Enumeration Date 2021-01-18
Last Update Date 2021-01-18
Authorized Official Telephone 9496895039
Authorized Official Credential RD
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 193400000X SINGLE SPECIALTY GROUP Dietary & Nutritional Service Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address (Email) 12240 Venice Blvd Ste 30, Los Angeles, CA 900663891 Direct

Office Location

Street Address 12240 VENICE BLVD STE 30
State CA
Zip Code 90066-3891

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295290658 Thrive Therapy, Inc. Clinic/Center · Mental Health (Including Community Mental Health Center) 12240 Venice Blvd Ste 26, Los Angeles, CA 90066-3891 2019-02-09
1861551053 Darls Centola Social Worker · Clinical 12240 Venice Blvd Ste 15a, Los Angeles, CA 90066-3891 2006-12-06
1154811354 Lana Kathleen Johnson Acupuncturist 12240 Venice Blvd Ste 15a, Los Angeles, CA 90066-3891 2018-05-14

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1194330274 Marilyn S Zweifach Psychologist · Clinical 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1073167458 Rosario Tabares Marriage & Family Therapist 4173 Inglewood Blvd., Los Angeles, CA 90066 2019-07-24
1396200739 Ruzziel Pio Licensed Vocational Nurse 4344 Harding Avenue, Los Angeles, CA 90066 2019-02-08
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1972096600 Tricia Kim Ann Walters Licensed Vocational Nurse 1233 S. La Cienega Blvd, Los Angeles, CA 90066 2018-06-07
1174015622 Nicole Hiorns Occupational Therapist 11605 Washington Place, Los Angeles, CA 90066 2018-05-31
1225549934 Gary Sattler Psychoanalyst 3133 Federal Ave., Los Angeles, CA 90066 2017-10-20
1669991568 Nexus Recovery Services, LLC Clinic/Center · Rehabilitation, Substance Use Disorder 11515 Washington Blvd, Culver City, CA 90066 2017-09-12
1336669381 Andrea Michelle Bakke Dentist · General Practice 3636 Rosewood Ave, Los Angeles, CA 90066 2017-06-21
1659820686 Pegah Ghassemi Bakhtiari Dds Inc · The Culver Marina Dental Group Dentist 12756 West Washington Blvd, Los Angeles, CA 90066 2016-10-03
Find all providers in zip 90066

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720677222 Karin Jacinto 619 S Olive St Ste 403, Los Angeles, CA 90014-1547 2021-01-11
1508454968 Jayme E Filippini 460 Mt Wash Dr, Los Angeles, CA 90065-3128 2020-12-31
1437745403 Brooke Ellis 4248 Trent Way, Los Angeles, CA 90065-5112 2020-12-14
1710582432 Los Angeles Lgbt Center 553 S Clarence St, Los Angeles, CA 90033-4225 2020-12-01
1467057166 Los Angeles Lgbt Center 2313 W Martin Luther King Jr Blvd, Los Angeles, CA 90008-2724 2020-12-01
1144827510 Chelsea Fujitaki 3547 S Barrington Ave, Los Angeles, CA 90066-2829 2020-10-08
1215549449 Zoe Delaney Womack 10528 Lauriston Ave, Los Angeles, CA 90064-2315 2020-08-19
1588275846 Diana Davila 4627 1/2 Strang Ave, Los Angeles, CA 90022-1872 2020-08-11
1174140198 Stephanie N Carter 639 N Fairfax Ave Apt 202, Los Angeles, CA 90036-1784 2020-06-26
1144846585 Tiffany Yuan 2605 Severance St Apt 303, Los Angeles, CA 90007-2535 2020-06-22
Find all providers in LOS ANGELES


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Dataset Information

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.