Active NPI
Amanda Sensabaugh
- Registered Dietitian
- Newport Beach, CA
National Provider Identifier
1275813669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01046423
- Practice address
- 3701 Birch St
Suite # 200
Newport Beach, CA 92660-2618 - Phone
- (949) 722-7662
- NPI assigned
- Aug 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01046423 | CA | Primary |
Addresses
Primary practice location
3701 Birch St
Suite # 200
Newport Beach, CA 92660-2618
Mailing address
3701 Birch St
Suite 200
Newport Beach, CA 92660-2618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01046423 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Advanced Laparoscopic Surgery Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Tustin, CA
- NPI 1235323361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1275813669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 BIRCH ST",
"address_2": "SUITE 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BIRCH ST",
"address_2": "SUITE # 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602618",
"telephone_number": "949-722-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENSABAUGH",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "01046423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.