Organization Active NPI

Southern California Institute of Clinical Nutrition

  • Nutritionist
  • Carlsbad, CA
National Provider Identifier
1447696265
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
SOUTHERN CALIFORNIA INSTITUTE OF CLINICAL NUTRITION
Practice address
5670 El Camino Real,
Suite B
Carlsbad, CA 92008
Phone
(760) 448-2722
Fax
(760) 448-2726
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Laura Thompson
Title
Ceo & President
Phone
(760) 448-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

5670 El Camino Real,
Suite B
Carlsbad, CA 92008

Mailing address

5670 El Camino Real,
Suite B
Carlsbad, CA 92008
Phone (760) 448-2722

National Provider Directory

National Provider Directory

Locations

5670 El Camino Real
Ste B
Carlsbad, CA 92008
Phone (760) 448-2722

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1447696265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 EL CAMINO REAL,",
            "address_2": "SUITE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92008",
            "telephone_number": "760-448-2722",
            "fax_number": "760-448-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 EL CAMINO REAL,",
            "address_2": "SUITE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92008",
            "telephone_number": "760-448-2722",
            "fax_number": "760-448-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA INSTITUTE OF CLINICAL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "760-448-2722"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.