Active NPI
Elizabeth Baron Cole, R.D.N., C.H.F.S.
- Registered Dietitian
- Santa Monica, CA
National Provider Identifier
1104375385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 667488
- Practice address
- 2121 Wilshire Blvd
Ste 302
Santa Monica, CA 90403-5720 - Phone
- (310) 453-5212
- Fax
- (310) 829-0891
- NPI assigned
- Sep 28, 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 | 667488 | CA | Primary |
Addresses
Primary practice location
2121 Wilshire Blvd
Ste 302
Santa Monica, CA 90403-5720
Mailing address
2121 Wilshire Blvd
Ste 302
Santa Monica, CA 90403-5720
Phone (310) 453-5212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 23, 2020 through Nov 23, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 667488 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1104375385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 WILSHIRE BLVD",
"address_2": "STE 302",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035720",
"telephone_number": "310-453-5212",
"fax_number": "310-829-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 WILSHIRE BLVD",
"address_2": "STE 302",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035720",
"telephone_number": "310-453-5212",
"fax_number": "310-829-0891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARON COLE",
"first_name": "ELIZABETH",
"credential": "R.D.N., C.H.F.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "667488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.