Desiree R Mosher, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1107334 Issued in CA

Practice address

827 Deep Valley Dr Ste 309
Rolling Hills Estates, CA 90274-3655

Phone

(310) 293-6570

NPI assigned

Jun 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1205568680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR STE 309",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743655",
            "telephone_number": "310-293-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR STE 309",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743655",
            "telephone_number": "310-293-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26035 Appian Way",
            "address_purpose": "LOCATION",
            "city": "Lomita",
            "state": "CA",
            "postal_code": "907173208",
            "country_code": "US",
            "telephone_number": "310-293-6570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSHER",
        "first_name": "DESIREE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1107334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; 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.