Individual provider Active NPI

Teresa Bardenhagen, MS, RD, CDE

  • Registered Dietitian
  • San Diego, CA
National Provider Identifier
1538695101
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1046771 Issued in CA
Practice address
10140 Campus Point Dr
San Diego, CA 92121-1520
Phone
(831) 578-2710
NPI assigned
May 2, 2017
Last updated
Nov 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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 1046771 CA Primary

Addresses

Primary practice location

10140 Campus Point Dr
San Diego, CA 92121-1520

Mailing address

2804 Bellezza Dr
San Diego, CA 92108-6749
Phone (831) 578-2710

Other practice location 1

888 S King St
Honolulu, HI 96813-3097
Phone (831) 578-2710

Other names 1

  • Teresa Warwick Former name

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

State licenses

LicenseStateTypeSpecialty
1046771CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Jun 5, 2017 Accepting new patients
Straub Clinic & Hospital CurrentSince Jun 5, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

10140 Campus Point Dr
San Diego, CA 92121
Phone (858) 678-7050

10140 Campus Point Dr
Ste 140
San Diego, CA 92121
Phone (858) 678-7050

1946 Young St
Ste 320
Honolulu, HI 96826

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Interoperability endpoints

  • Direct secure messaging: twarwick323069@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1538695101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 BELLEZZA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086749",
            "telephone_number": "831-578-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 CAMPUS POINT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211520",
            "telephone_number": "831-578-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 S King St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133097",
            "country_code": "US",
            "telephone_number": "831-578-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDENHAGEN",
        "first_name": "TERESA",
        "credential": "MS, RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1046771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "WARWICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.