Active NPI
Xcel Nutrition Therapy, Inc.
- Registered Dietitian
- Costa Mesa, CA
National Provider Identifier
1508821950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryLocations
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.