Active NPI
Carsan Dittman, R.D.N.
- Registered Dietitian
- Hermosa Beach, CA
National Provider Identifier
1063875268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86063718
- Practice address
- 507 Pier Ave
Suite B
Hermosa Beach, CA 90254-3822 - Phone
- (310) 372-7234
- NPI assigned
- Apr 4, 2016
- 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 | 86063718 | CA | Primary |
Addresses
Primary practice location
507 Pier Ave
Suite B
Hermosa Beach, CA 90254-3822
Mailing address
5117 Macafee Rd
Torrance, CA 90505-4332
Phone (310) 947-2318
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 |
|---|---|---|---|
| 86063718 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1063875268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5117 MACAFEE RD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054332",
"telephone_number": "310-947-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 PIER AVE",
"address_2": "SUITE B",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543822",
"telephone_number": "310-372-7234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMAN",
"first_name": "CARSAN",
"credential": "R.D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86063718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermosa Beach, CA
- Raquel Elisa Saldana Di Nieri
- Alann D Dingle, PH.D.
- Duyen Thi Dinh, PHARM D
- Janet Emily Dion, MFT
- Darlene Dirstine, DPT, NCS
- Divya Sachdev, M.D., Inc., a Professional Medical Corporation
- Donlevy & Estess Oral Surgery Group
- Jeffrey Lewis Donlevy, DDS,MD
- Camila Dos Santos Matos de Assis, DDS
- Alexander Smith Douglas, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.