Active NPI
Summer N Johnson, RDN
- Registered Dietitian
- Bellflower, CA
National Provider Identifier
1407734189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86156154
- Practice address
- 16611 Woodruff Ave Apt 30
Bellflower, CA 90706-4962 - Phone
- (805) 298-8202
- NPI assigned
- Aug 22, 2025
- 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 | 86156154 | CA | Primary |
Addresses
Primary practice location
16611 Woodruff Ave Apt 30
Bellflower, CA 90706-4962
Mailing address
16611 Woodruff Ave Apt 30
Bellflower, CA 90706-4962
Phone (805) 298-8202
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 |
|---|---|---|---|
| 86156154 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1407734189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16611 WOODRUFF AVE APT 30",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907064962",
"telephone_number": "805-298-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16611 WOODRUFF AVE APT 30",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907064962",
"telephone_number": "805-298-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SUMMER",
"middle_name": "N",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86156154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.