Active NPI
Edmond Joseph Munizich, R.D.
- Registered Dietitian
- Santa Barbara, CA
National Provider Identifier
1659825008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 859472
- Practice address
- 315 Camino del Remedio
Santa Barbara, CA 93110-1332 - Phone
- (805) 681-5275
- NPI assigned
- Aug 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 859472 | CA | Primary |
Addresses
Primary practice location
315 Camino del Remedio
Santa Barbara, CA 93110-1332
Mailing address
1329 W Valerio St
Santa Barbara, CA 93101-4952
Phone (805) 696-1128
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 |
|---|---|---|---|
| 859472 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471132800000",
"number": "1659825008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 W VALERIO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931014952",
"telephone_number": "805-696-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 CAMINO DEL REMEDIO",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101332",
"telephone_number": "805-681-5275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNIZICH",
"first_name": "EDMOND",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-14",
"last_updated": "2016-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "859472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.