Apple Red Nutrition Services

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

APPLE RED NUTRITION SERVICES

Practice address

341 W 2ND St Ste 3
San Bernardino, CA 92401-1804

Phone

(909) 513-5351

Fax

(909) 635-6132

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Afua-Bema Isoken Khumalo, RDN

Title

Owner

Phone

(909) 528-9828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1588264337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 POPLAR ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542226",
            "telephone_number": "909-528-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W 2ND ST STE 3",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011804",
            "telephone_number": "909-513-5351",
            "fax_number": "909-635-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE RED NUTRITION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "KHUMALO",
        "authorized_official_first_name": "AFUA-BEMA",
        "authorized_official_middle_name": "ISOKEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-528-9828",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.