Active NPI
Laura Fuld, R.D.
- Registered Dietitian
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 661402
- Practice address
- 1639 Rowland Ave
Camarillo, CA 93010-3154 - Phone
- (805) 484-1193
- NPI assigned
- Sep 9, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 661402 | CA | Primary |
Addresses
Primary practice location
1639 Rowland Ave
Camarillo, CA 93010-3154
Mailing address
1639 Rowland Ave
Camarillo, CA 93010-3154
Phone (805) 484-1193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 661402 | Other | CA | CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Ashwood Ave
Ventura, CA 93003-1810
Phone (805) 658-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 661402 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients |
Locations
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
-
- Multi-Specialty Clinic/Center
- Ventura, CA
- NPI 1700303633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1114250024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 ROWLAND AVE",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930103154",
"telephone_number": "805-484-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 ROWLAND AVE",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930103154",
"telephone_number": "805-484-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULD",
"first_name": "LAURA",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "661402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION",
"identifier": "661402",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.