Active NPI
Dustin Mesick, RD
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1447921903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 7870 Bleriot Ave
Los Angeles, CA 90045-2905 - Phone
- (310) 780-8647
- NPI assigned
- Sep 24, 2021
- Reactivated
- Aug 11, 2022
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
7870 Bleriot Ave
Los Angeles, CA 90045-2905
Mailing address
7870 Bleriot Ave
Los Angeles, CA 90045-2905
Phone (310) 780-8647
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refresh Nutrition Incorporated | Dietitian, Registered | Past | Accepting new patients |
| Bradley Management LLC | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Wellness Roots Foundation | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Registered Dietitian
- Knoxville, TN
- NPI 1306453006
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1447921903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7870 BLERIOT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900452905",
"telephone_number": "310-780-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7870 BLERIOT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900452905",
"telephone_number": "310-780-8647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESICK",
"first_name": "DUSTIN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-24",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"deactivation_date": "2022-07-18",
"reactivation_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.