Active NPI
Teresa Bardenhagen, MS, RD, CDE
- Registered Dietitian
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1046771
- Practice address
- 10140 Campus Point Dr
San Diego, CA 92121-1520 - Phone
- (831) 578-2710
- NPI assigned
- May 2, 2017
- Last updated
- Nov 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1046771 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | 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
- 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.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba Hawaii Pacific Health Specialty Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
dba Straub Benioff Medical Center
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
- NPI 1851443733
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.