Vicky Adeva, RDN IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

825881 Issued in CA

Practice address

1043 Elm Ave Ste 401
Long Beach, CA 90813-3296

Phone

(562) 570-4465

Fax

(562) 570-1754

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1356899371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5852 GAVIOTA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054304",
            "telephone_number": "562-570-4465",
            "fax_number": "562-570-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 401",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133296",
            "telephone_number": "562-570-4465",
            "fax_number": "562-570-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEVA",
        "first_name": "VICKY",
        "credential": "RDN IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "825881",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-13187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ama Addo
• Damilola Adefeso, PMHNP
• Adel Eldahmy M.D. Incorporated
• Sierra Adele, LMFT
• Omobola Sola Adeleke
• Abayomi Adeyemi, MD
• Charity Adger
• Ashvind N. Adkins Singh, PHD
• Ayesha Adkins
• Elizabeth Pilar Adle

• Registered Dietitian in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.