Organization Active NPI

Eat to Be Fit

  • Registered Dietitian
  • Huntington Beach, CA
National Provider Identifier
1164050795
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EAT TO BE FIT
Practice address
5811 McFadden Ave
Huntington Beach, CA 92649-1323
Phone
(818) 625-6078
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Corin Smith, REGISTERED DIETITIAN
Title
Owner
Phone
(818) 625-6078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

5811 McFadden Ave
Huntington Beach, CA 92649-1323

Mailing address

16871 Harvest LN
Huntington Beach, CA 92649-4088
Phone (818) 625-6078

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1164050795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16871 HARVEST LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494088",
            "telephone_number": "818-625-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 MCFADDEN AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491323",
            "telephone_number": "818-625-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT TO BE FIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CORIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-625-6078",
        "authorized_official_credential": "REGISTERED DIETITIAN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.