NPIMap

Organization Active NPI

Healthy Mission Dietitian, Inc.

  • Registered Dietitian
  • Monrovia, CA
National Provider Identifier
1386279792
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
HEALTHY MISSION DIETITIAN, INC.
Practice address
50 W Lemon Ave Ste 8
Monrovia, CA 91016-5112
Phone
(626) 268-1353
Fax
(626) 231-0616
NPI assigned
Mar 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Edith Yang, RD, CSR, CLT, FANDNPI 1598197402
Title
Owner/Ceo
Phone
(626) 873-1273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Renal Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1005X

Addresses

Primary practice location

50 W Lemon Ave Ste 8
Monrovia, CA 91016-5112

Mailing address

469 N Canyon Blvd
Monrovia, CA 91016-2373
Phone (626) 873-1273

Other practice location 1

440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775
Phone (626) 873-1273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200326002865 CA Part B Supplier - Clinic/Group Practice 3577992528 Receives reassigned benefits from 3 practitioners
Practice locations: Arcadia, CA; Monrovia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1386279792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 N CANYON BLVD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162373",
            "telephone_number": "626-873-1273",
            "fax_number": "626-231-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W LEMON AVE STE 8",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165112",
            "telephone_number": "626-268-1353",
            "fax_number": "626-231-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 E Huntington Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063775",
            "country_code": "US",
            "telephone_number": "626-873-1273",
            "fax_number": "626-231-0616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY MISSION DIETITIAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "626-873-1273",
        "authorized_official_credential": "RD, CSR, CLT, FAND"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.