Mary Seiersen, RDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3851 Katella Ave Ste 275
Los Alamitos, CA 90720-3377

Phone

(562) 296-5528

Fax

(562) 296-8506

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Prohealth Partners, a Medical Group

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1003949975
  Medicare reassignment NPD
• Prohealth Partners, a Medical Group, Inc.

  • Family Medicine Physician
  • Los Alamitos, CA
  • NPI 1710201801
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1912899394
  NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1538282983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15464 GOLDENWEST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836149",
            "telephone_number": "714-891-9008",
            "fax_number": "714-893-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 275",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203377",
            "telephone_number": "562-296-5528",
            "fax_number": "562-296-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIERSEN",
        "first_name": "MARY",
        "credential": "RDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "711000",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "711000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry Robert Secor, MD
• Michael Holmes Secrist, M.D.
• Stephanie Segovia, M.A., AMFT
• Ellen Marlene Sehlmeyer, P.T. , MFT
• Candia Gay Seibly, OTR/L
• Michaelle Seiter, LCSW
• Donald N Serafano, MD
• Lauren Cady Sachdeva Shah, LCSW
• Shahba Body Revive Chiropractic Corporation
• Reza Shahba, DC

• Registered Dietitian in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.