Oc Nutrition Coaching

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

OC NUTRITION COACHING

Practice address

248 Victoria St Ste 4
Costa Mesa, CA 92627-6042

Phone

(714) 396-7729

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Deborah Zedeck, CPB

Title

Billing

Phone

(631) 592-8415

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OC Nutrition Coaching Doing business as

Locations

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1659977429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 E GARFIELD AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 VICTORIA ST STE 4",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926276042",
            "telephone_number": "714-396-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC NUTRITION COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "ZEDECK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "631-592-8415",
        "authorized_official_credential": "CPB"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "86007716",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Nutrition Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.