Individual provider Active NPI

Austin Bou, RD, CDCES

  • Registered Dietitian
  • Los Alamitos, CA
National Provider Identifier
1497394258
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
4132 Katella Ave Ste 101a
Los Alamitos, CA 90720-3426
Phone
(562) 276-0126
Fax
(855) 610-2299
NPI assigned
Dec 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 Primary

Addresses

Primary practice location

4132 Katella Ave Ste 101a
Los Alamitos, CA 90720-3426

Mailing address

17901 Pioneer Blvd Ste L113
Artesia, CA 90701-3952
Phone (562) 276-0126

Other practice location 1

150 N Santa Anita Ave Ste 800
Arcadia, CA 91006-3129
Phone (562) 276-0126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260402003910 CA Practitioner - Registered Dietitian Or Nutrition Professional 5395220784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4132 Katella Ave
Suite 101a
Los Alamitos, CA 90720-3426
Phone (562) 276-0126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Dietitian Dietitian, Registered CurrentSince Sep 1, 2023 Accepting new patients

Locations

150 N Santa Anita Ave
Ste 800
Arcadia, CA 91006
Phone (626) 214-8606

17901 Pioneer Blvd
Ste L113
Artesia, CA 90701

4132 Katella Ave
Ste 101A
Los Alamitos, CA 90720
Phone (562) 276-0126

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

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": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1497394258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 PIONEER BLVD STE L113",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013952",
            "telephone_number": "562-276-0126",
            "fax_number": "855-610-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 101A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203426",
            "telephone_number": "562-276-0126",
            "fax_number": "855-610-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Santa Anita Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063129",
            "country_code": "US",
            "telephone_number": "562-276-0126",
            "fax_number": "855-610-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOU",
        "first_name": "AUSTIN",
        "credential": "RD, CDCES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-27",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.