Individual provider Active NPI

Danielle Alessandra Bublitz, RDN

  • Registered Dietitian
  • Sun Valley, CA
National Provider Identifier
1417434366
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86059367 Issued in CA
Practice address
9449 San Fernando Rd
Sun Valley, CA 91352-1421
Phone
(818) 767-3310
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86059367 CA Primary

Addresses

Primary practice location

9449 San Fernando Rd
Sun Valley, CA 91352-1421

Mailing address

2605 W Kelly Rd
Newbury Park, CA 91320-3802
Phone (530) 774-8888

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

LicenseStateTypeSpecialty
86059367CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1417434366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W KELLY RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203802",
            "telephone_number": "530-774-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521421",
            "telephone_number": "818-767-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBLITZ",
        "first_name": "DANIELLE",
        "middle_name": "ALESSANDRA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86059367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.