Rebecca Rose Berg, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86096203 Issued in CA

Practice address

3852 Vinton Ave
Culver City, CA 90232-3132

Phone

(310) 554-8911

NPI assigned

Nov 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1386281160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10866 WASHINGTON BLVD # 407",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323610",
            "telephone_number": "310-554-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 VINTON AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323132",
            "telephone_number": "310-554-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "REBECCA",
        "middle_name": "ROSE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86096203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla M Benner, RN
• Adrianna Nicole Bennett
• Kent Anthony Bennett
• Mariam M Berberyan, MFTI
• Abigail Berg
• Vanessa Barbara Marie Berg
• Luis Enrique Berganza
• Sharon L Bergjans
• Nina Katherine Bergquist
• Sevenju Pepper Berkey, OTR/L

• Registered Dietitian in Culver City, CA
• Providers in Culver City, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.