Active NPI
Elizabeth Fujimaki, RD
- Registered Dietitian
- Costa Mesa, CA
National Provider Identifier
1033724018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 248 Victoria St Ste 4
Costa Mesa, CA 92627-6042 - Phone
- (714) 646-6641
- NPI assigned
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
248 Victoria St Ste 4
Costa Mesa, CA 92627-6042
Mailing address
248 Victoria St Ste 4
Costa Mesa, CA 92627-6042
Other practice location 1
936 E Civic Center Dr
Santa Ana, CA 92701-3969
Phone (714) 801-8111
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1033724018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 VICTORIA ST STE 4",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926276042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 VICTORIA ST STE 4",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926276042",
"telephone_number": "714-646-6641"
}
],
"practiceLocations": [
{
"address_1": "936 E Civic Center Dr",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927013969",
"country_code": "US",
"telephone_number": "714-801-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUJIMAKI",
"first_name": "ELIZABETH",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.