Active NPI
Eat to Be Fit
- Registered Dietitian
- Huntington Beach, CA
National Provider Identifier
1164050795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryNPI 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.