Organization Active NPI

First Step Nutrition Therapy

  • Health Service Clinic/Center
  • San Pedro, CA
National Provider Identifier
1083010581
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
RDN REG. #1093633 Issued in CA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.