Individual provider Active NPI

Emily Heinbach, RD

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1033857677
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86092162 Issued in PA
Practice address
1635 N Martel Ave Apt 218
Los Angeles, CA 90046-3541
Phone
(570) 573-4164
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86092162 PA Primary

Addresses

Primary practice location

1635 N Martel Ave Apt 218
Los Angeles, CA 90046-3541

Mailing address

1635 N Martel Ave Apt 218
Los Angeles, CA 90046-3541
Phone (570) 573-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102002390 CA Practitioner - Registered Dietitian Or Nutrition Professional 6901392570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29970 Technology Dr
Suite 118
Murrieta, CA 92563-2646

29970 Technology Dr
Suite 118
Murrieta, CA 92563-2647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86092162PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Dietitians, Inc. Dietitian, Registered CurrentSince Oct 11, 2025 Accepting new patients
Dr Brooke Bellomio Psychologist Apc PastSince Oct 11, 2025 Accepting new patients

Locations

29970 Technology Dr
Ste 118
Murrieta, CA 92563
Phone (760) 716-1274

917 SW Oak St
Ste 303
Portland, OR 97205
Phone (971) 200-0482

Organizations & group practices 2

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1033857677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N MARTEL AVE APT 218",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463541",
            "telephone_number": "570-573-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N MARTEL AVE APT 218",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463541",
            "telephone_number": "570-573-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINBACH",
        "first_name": "EMILY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86092162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.