Active NPI
Vanessa K Wada, RD
- Registered Dietitian
- Yorba Linda, CA
National Provider Identifier
1033358080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 959673
- Practice address
- 18300 Yorba Linda Blvd Ste 204
Yorba Linda, CA 92886-4052 - Phone
- (714) 577-6031
- NPI assigned
- Feb 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 959673 | CA | Primary |
Addresses
Primary practice location
18300 Yorba Linda Blvd Ste 204
Yorba Linda, CA 92886-4052
Mailing address
18200 Yorba Linda Blvd Ste 401
Yorba Linda, CA 92886-4061
Phone (714) 646-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 959673 | Other | CA | REGISTERED LIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 959673 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234742400000",
"number": "1033358080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18200 YORBA LINDA BLVD STE 401",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864061",
"telephone_number": "714-646-8000",
"fax_number": "714-572-2562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 YORBA LINDA BLVD STE 204",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864052",
"telephone_number": "714-577-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADA",
"first_name": "VANESSA",
"middle_name": "K",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-16",
"last_updated": "2009-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "959673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED LIC",
"identifier": "959673",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
- Viviana McGovern LMFT, Individual, Marriage and Family Therapy, Inc. (Full Vida Therapy)
- Thu-Thuy Vo, D.D.S.
- Vons Companies Inc (Vons Pharmacy #3069)
- Tommy Vu, OTR/L
- Jayshree Vyas, M.D.
- Susan Wadkins, N.P.
- Walk With US Home Care
- Tina Leanne Walker, M.D.
- Joshua Walters, PTA
- Darlene C Wang, BSN, MSN, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.