San Diego Dietitians, PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SAN DIEGO DIETITIANS, PC

Practice address

817 Archer St
San Diego, CA 92109-1123

Phone

(858) 900-4722

NPI assigned

Apr 5, 2024

Organization subpart

No

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

Authorized official

Name

Mitra Weissman, RD, CNSC, CDENPI 1558003673

Title

Dietitian and Owner

Phone

(858) 699-7069

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitra Weissman, RD, CNSC, CDE

  • Registered Dietitian
  • San Diego, CA
  • NPI 1558003673
  NPD Authorized official

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1659124188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 ARCHER ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091123",
            "telephone_number": "858-699-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 ARCHER ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091123",
            "telephone_number": "858-900-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO DIETITIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "DIETITIAN AND OWNER",
        "authorized_official_telephone_number": "858-699-7069",
        "authorized_official_credential": "RD, CNSC, CDE"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.