Fresh & Fabulous, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

FRESH & FABULOUS, INC.

Doing business as

Fresh & Fabulous

Practice address

115 Dawson Dr
Camarillo, CA 93012-8003

Phone

(818) 216-8853

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Magda Adel Weydt, MS, RD

Title

Owner

Phone

(805) 486-4547

Specialties & licenses 2

Addresses

Other names 1

• Fresh & Fabulous Doing business as

Locations

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1295469229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11946 MAPLE CREST ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213170",
            "telephone_number": "818-216-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DAWSON DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128003",
            "telephone_number": "818-216-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH & FABULOUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-10-06",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "WEYDT",
        "authorized_official_first_name": "MAGDA",
        "authorized_official_middle_name": "ADEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-486-4547",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh & Fabulous",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresh & Fabulous",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corinne Lee Fredette, CADC-1
• Michael Brian Freeland, O.D.
• Anne M Freese, PHARMD
• Jessica Freese, MS, RD
• Barbara Freie, M.A., LMFT #102618
• John Casey Friedeck, AMFT, APCC
• Stephanie Friedman
• Johnny Frugoli
• Jenny Fuentes, LVN
• Laura Fuld, R.D.

• Registered Dietitian in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.