Active NPI
Siuying Leung Selfridge
- Registered Dietitian
- Temecula, CA
National Provider Identifier
1588988398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 816870
- Practice address
- 31615 Avenida del Reposo
Temecula, CA 92591-1752 - Phone
- (951) 237-3886
- NPI assigned
- Mar 23, 2010
- 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 | 816870 | CA | Primary |
Addresses
Primary practice location
31615 Avenida del Reposo
Temecula, CA 92591-1752
Mailing address
31615 Avenida del Reposo
Temecula, CA 92591-1752
Phone (951) 237-3886
Other names 1
- Siuying Selfridge
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 816870 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1588988398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31615 AVENIDA DEL REPOSO",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925911752",
"telephone_number": "951-237-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31615 AVENIDA DEL REPOSO",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925911752",
"telephone_number": "951-237-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELFRIDGE",
"first_name": "SIUYING",
"middle_name": "LEUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "816870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIUYING",
"last_name": "SELFRIDGE",
"credential": "RD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.