West Coast Dietitian

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

WEST COAST DIETITIAN

Practice address

4132 Katella Ave Ste 101a
Los Alamitos, CA 90720-3426

Phone

(562) 276-0126

Fax

(855) 610-2299

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Austin Bou, RD, CDCESNPI 1497394258

Title

President

Phone

(562) 276-8057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Austin Bou, RD, CDCES

  • Registered Dietitian
  • Los Alamitos, CA
  • NPI 1497394258

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1659157642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 PIONEER BLVD STE L113",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013952",
            "telephone_number": "562-276-0126",
            "fax_number": "855-610-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 KATELLA AVE STE 101A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203426",
            "telephone_number": "562-276-0126",
            "fax_number": "855-610-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Santa Anita Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063129",
            "country_code": "US",
            "telephone_number": "562-276-0126",
            "fax_number": "855-610-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST COAST DIETITIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "BOU",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-276-8057",
        "authorized_official_credential": "RD, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Watson, OTR/L
• Connie Lee Wax, L.C.S.W.
• Diane Marie Wayne
• Elizabeth Weidlich, D.C.
• Stephen A Wertheimer, M.D.
• West Coast Surgery Center Inc.
• Gihan K Wetzel, DO
• Richard Jay Wexler, MD
• Malinda Jo Wheeler, APRN
• Daniel D Wicorek, D.D.S.

• Registered Dietitian in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.