Individual provider Active NPI

Regina Fridella Cousineau, RDN

  • Obesity and Weight Management Nutrition Registered Dietitian
  • San Clemente, CA
National Provider Identifier
1013825561
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
86105081 Issued in CA
Practice address
211 W Avenida Cordoba
San Clemente, CA 92672-5412
Phone
(949) 842-9975
NPI assigned
Aug 27, 2026
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86105081 CA
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 86105081 CA Primary

Addresses

Primary practice location

211 W Avenida Cordoba
San Clemente, CA 92672-5412

Mailing address

211 W Avenida Cordoba
San Clemente, CA 92672-5412
Phone (949) 842-9975

Other names 1

  • Gina Fridella Cousineau Professional name

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
86105081CAMDObesity and Weight Management Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1013825561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W AVENIDA CORDOBA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725412",
            "telephone_number": "949-842-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W AVENIDA CORDOBA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725412",
            "telephone_number": "949-842-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINEAU",
        "first_name": "REGINA",
        "middle_name": "FRIDELLA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86105081",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "CA",
            "license": "86105081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "COUSINEAU",
            "middle_name": "FRIDELLA",
            "credential": "RDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.