Active NPI
Elizabeth Bertrand, MS, RD
- Registered Dietitian
- Panorama City, CA
National Provider Identifier
1538346010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 852519
- Practice address
- 14860 Roscoe Blvd
Suite 101
Panorama City, CA 91402-4665 - Phone
- (818) 901-9906
- NPI assigned
- Jan 27, 2008
- Last updated
- Jan 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 852519 | CA | Primary |
Addresses
Primary practice location
14860 Roscoe Blvd
Suite 101
Panorama City, CA 91402-4665
Mailing address
2200 Colorado Ave
Suite 538
Santa Monica, CA 90404-3571
Phone (310) 770-1160
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Northridge Hosptial Medical Center | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1144540956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201392000000",
"number": "1538346010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COLORADO AVE",
"address_2": "SUITE 538",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043571",
"telephone_number": "310-770-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14860 ROSCOE BLVD",
"address_2": "SUITE 101",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024665",
"telephone_number": "818-901-9906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAND",
"first_name": "ELIZABETH",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-27",
"last_updated": "2008-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "852519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.