Active NPI
First Step Nutrition Therapy
- Health Service Clinic/Center
- San Pedro, CA
National Provider Identifier
1083010581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- RDN REG. #1093633
- Legal business name
- FIRST STEP NUTRITION THERAPY
- Practice address
- 624 W 9TH St
#103
San Pedro, CA 90731-3158 - Phone
- (310) 938-4575
- NPI assigned
- Nov 10, 2014
- Last updated
- Nov 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brooke Kugler Aschidamini, MS, RDN, CISSN
- Title
- Registered Dietitian
- Phone
- (727) 688-9584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | RDN REG. #1093633 | CA | Primary |
Addresses
Primary practice location
624 W 9TH St
#103
San Pedro, CA 90731-3158
Mailing address
1401 N Greenbrier Rd
#104
Long Beach, CA 90815-3900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415750400000",
"number": "1083010581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 N GREENBRIER RD",
"address_2": "#104",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W 9TH ST",
"address_2": "#103",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313158",
"telephone_number": "310-938-4575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST STEP NUTRITION THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-12",
"status": "A",
"authorized_official_last_name": "ASCHIDAMINI",
"authorized_official_first_name": "BROOKE",
"authorized_official_middle_name": "KUGLER",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "727-688-9584",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, RDN, CISSN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "RDN REG. #1093633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.