Active NPI
Dalia Siada Beydoun, RD
- Registered Dietitian
- Costa Mesa, CA
National Provider Identifier
1356954283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86010806
- Practice address
- 3100 Airway Ave Ste 139
Costa Mesa, CA 92626-4614 - Phone
- (949) 409-5676
- NPI assigned
- Aug 29, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 86010806 | CA | Primary |
Addresses
Primary practice location
3100 Airway Ave Ste 139
Costa Mesa, CA 92626-4614
Mailing address
3843 S Bristol St # 175
Santa Ana, CA 92704-7426
Phone (559) 301-7314
Other practice location 1
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (949) 409-5676
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 |
|---|---|---|---|
| 86010806 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DSB Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
3100 Airway Ave
Ste 139
Costa Mesa, CA 92626
Phone (949) 334-7237
3843 S Bristol St
Santa Ana, CA 92704
Phone (714) 210-2450
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1356954283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3843 S BRISTOL ST # 175",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047426",
"telephone_number": "559-301-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 AIRWAY AVE STE 139",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264614",
"telephone_number": "949-409-5676"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "949-409-5676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEYDOUN",
"first_name": "DALIA",
"middle_name": "SIADA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-29",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86010806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.