Active NPI
Balanced Bites Nutrition Inc
- Registered Dietitian
- Fremont, CA
National Provider Identifier
1548075518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jayalakshmi Periasamy, REGISTERED DIETITIAN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryPractitioners & 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.