Frieda Pauline Fontaine, PH.D., NDTR

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

1040 N Kenter Ave
Los Angeles, CA 90049-1314

Phone

(310) 709-3048

NPI assigned

Apr 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1124345186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N KENTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491314",
            "telephone_number": "310-476-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N KENTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900491314",
            "telephone_number": "310-709-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "FRIEDA",
        "middle_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "PH.D., NDTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "CA",
            "license": "86027888",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Fonseca, MFTI
• Philip Joseph Fonseca
• Rosario Leilani Fonseca
• Marcela R Font, LAC
• Spencer Rae Font, PMHNP-BC, CPEN
• Gisele Fontaine, RN
• Fontana Adult Day Health Care Center
• Fontana Cardiovascular Group Inc
• Joshua Fontanez, B.A.
• Charisse Fontanilla, MSW

• Nutritionist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.