Dustin George Fristed, MPH, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86034712 Issued in CA

Practice address

39252 Winchester Rd Ste 107-271
Murrieta, CA 92563-3509

Phone

(949) 278-1042

NPI assigned

Jan 19, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Basal Nutrition LLC

  • Registered Dietitian
  • Temecula, CA
  • NPI 1730807520

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1073050720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD STE 107-271",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509",
            "telephone_number": "949-278-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39252 WINCHESTER RD STE 107-271",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633509",
            "telephone_number": "949-278-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISTED",
        "first_name": "DUSTIN",
        "middle_name": "GEORGE",
        "credential": "MPH, RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-19",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86034712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy D Frazier, CMT
• Mariam Mahali Freeman
• Brigid Maura Freyne, M.D.
• Diane B. Friederich, M.A., CCC-SLP
• Daniel Lane Friedlich, MD
• Meghan Yvonne Fruhling, AGNP-C
• Xiuping Fu
• Janice Raquel Fuentes, MD
• Rula Raban Fuertez, MD
• G.Olague, DDS & R. Deza DDS Apc

• Registered Dietitian in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.