Individual provider Active NPI

Adriana Abbott Anestis, RD

  • Registered Dietitian
  • Garden Grove, CA
National Provider Identifier
1508647728
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
898850 Issued in CA
Practice address
11591 Margie LN
Garden Grove, CA 92840-2442
Phone
(714) 357-7981
Fax
(310) 354-6226
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 898850 CA Primary

Addresses

Primary practice location

11591 Margie LN
Garden Grove, CA 92840-2442

Mailing address

PO Box 9680
Anaheim, CA 92812-7680
Phone (562) 608-2492

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

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1508647728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9680",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928127680",
            "telephone_number": "562-608-2492",
            "fax_number": "310-354-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11591 MARGIE LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402442",
            "telephone_number": "714-357-7981",
            "fax_number": "310-354-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANESTIS",
        "first_name": "ADRIANA",
        "middle_name": "ABBOTT",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "898850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.