Organization Active NPI

Balanced Bites Nutrition Inc

  • Registered Dietitian
  • Fremont, CA
National Provider Identifier
1548075518
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BALANCED BITES NUTRITION INC
Practice address
2853 Welk CMN
Fremont, CA 94555-1474
Phone
(781) 530-0702
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Mrs. Jayalakshmi Periasamy, REGISTERED DIETITIANNPI 1558138032
Title
Dietitan
Phone
(781) 530-0702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2853 Welk CMN
Fremont, CA 94555-1474

Mailing address

2853 Welk CMN
Fremont, CA 94555-1474
Phone (781) 530-0702

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1548075518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 WELK CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945551474",
            "telephone_number": "781-530-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 WELK CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945551474",
            "telephone_number": "781-530-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BITES NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "PERIASAMY",
        "authorized_official_first_name": "JAYALAKSHMI",
        "authorized_official_title_or_position": "DIETITAN",
        "authorized_official_telephone_number": "781-530-0702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED DIETITIAN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.