Organization Active NPI

Nutrinic Inc.

  • Metabolic Nutrition Registered Dietitian
  • Pasadena, CA
National Provider Identifier
1609310499
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
Legal business name
NUTRINIC INC.
Practice address
1030 S Arroyo Pkwy
Suite 109
Pasadena, CA 91105-3260
Phone
(888) 367-9550
NPI assigned
Dec 13, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Solomon Wolfson
Title
President
Phone
(213) 272-0474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X NU Primary

Addresses

Primary practice location

1030 S Arroyo Pkwy
Suite 109
Pasadena, CA 91105-3260

Mailing address

1030 S Arroyo Pkwy
Suite 109
Pasadena, CA 91105-3260
Phone (888) 367-9550

National Provider Directory

National Provider Directory

Locations

1030 S Arroyo Pkwy
Ste 109
Pasadena, CA 91105
Phone (626) 593-2283

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1609310499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S ARROYO PKWY",
            "address_2": "SUITE 109",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053260",
            "telephone_number": "888-367-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S ARROYO PKWY",
            "address_2": "SUITE 109",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053260",
            "telephone_number": "888-367-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-272-0474"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.