RDN Foundation Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RDN FOUNDATION INC.

Practice address

231 Elkwood Ave
Imperial Beach, CA 91932-2413

Phone

(619) 444-1833

NPI assigned

May 14, 2019

Organization subpart

No

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

Authorized official

Name

Miss Carlyn Angela Blevins, RDN

Title

Ceo

Phone

(619) 444-1833

Specialties & licenses 1

Addresses

Other names 1

• RDN Foundation Inc. Doing business as

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1649836743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ELKWOOD AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322413",
            "telephone_number": "619-444-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 ELKWOOD AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322413",
            "telephone_number": "619-444-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDN FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "CARLYN",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-444-1833",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RDN Foundation Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vernon Greg Phillips, MD
• Frances McDonald Pratte, LMFT
• Prosperous Health Imperial Beach, LLC
• Michael Steve Quirozayala
• Renuka Rajiv, NP
• Christina Reiter, CNM
• Danielle Richardson, M.D.
• Alonzo Milton Riley, SUDRC
• Angel David Esparza Rios
• Amanda Renee Robinson, DDS

• Registered Dietitian in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.