Individual provider Active NPI

Laura Fuld, R.D.

  • Registered Dietitian
  • Camarillo, CA
National Provider Identifier
1114250024
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
661402 Issued in CA
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

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
661402OtherCACERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000532 CA Practitioner - Registered Dietitian Or Nutrition Professional 7416094438 Reassigns benefits to 1 organization

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
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

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

LicenseStateTypeSpecialty
661402CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Oct 1, 2020 Accepting new patients
Community Memorial Health System CurrentSince Oct 1, 2020 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.

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.

Verify at the official NPI Registry.