Organization Active NPI

Xcel Nutrition Therapy, Inc.

  • Registered Dietitian
  • Costa Mesa, CA
National Provider Identifier
1508821950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
R659610
Legal business name
XCEL NUTRITION THERAPY, INC.
Practice address
940 S Coast Dr
Suite 257
Costa Mesa, CA 92626-7735
Phone
(714) 432-0380
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Melania Behrens, MA, RD
Title
President/Ceo
Phone
(714) 432-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X R659610 Primary

Addresses

Primary practice location

940 S Coast Dr
Suite 257
Costa Mesa, CA 92626-7735

Mailing address

940 S Coast Dr
Suite 257
Costa Mesa, CA 92626-7735
Phone (714) 432-0380

National Provider Directory

National Provider Directory

Locations

940 S Coast Dr
Ste 257
Costa Mesa, CA 92626
Phone (714) 432-0380

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508821950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S COAST DR",
            "address_2": "SUITE 257",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267735",
            "telephone_number": "714-432-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S COAST DR",
            "address_2": "SUITE 257",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267735",
            "telephone_number": "714-432-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCEL NUTRITION THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEHRENS",
        "authorized_official_first_name": "MELANIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-432-0380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "R659610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.