Active NPI
Endocrinology, Metabolism and Clinical Nutrition Practice
- Metabolic Nutrition Registered Dietitian
- San Mateo, CA
National Provider Identifier
1669748026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- A78806
- Legal business name
- ENDOCRINOLOGY, METABOLISM AND CLINICAL NUTRITION PRACTICE
- Practice address
- 50 S San Mateo Dr
Suite 370
San Mateo, CA 94401-3857 - Phone
- (650) 347-0063
- NPI assigned
- Mar 29, 2012
- Last updated
- Mar 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sumbul Beg, MD
- Title
- Owner
- Phone
- (650) 347-0063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | A78806 | CA | Primary |
Addresses
Primary practice location
50 S San Mateo Dr
Suite 370
San Mateo, CA 94401-3857
Mailing address
1325 Howard Aveune
No 825
Bulingame, CA 94010
Phone (650) 347-0063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437127560 | Other | CA | MEDICARE NPI |
National Provider Directory
National Provider DirectoryLocations
1325 Howard Ave
Burlingame, CA 94010
Phone (512) 659-7818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332979200000",
"number": "1669748026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 HOWARD AVEUNE",
"address_2": "NO 825",
"city": "BULINGAME",
"state": "CA",
"postal_code": "94010",
"telephone_number": "650-347-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S SAN MATEO DR",
"address_2": "SUITE 370",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013857",
"telephone_number": "650-347-0063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINOLOGY, METABOLISM AND CLINICAL NUTRITION PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A",
"authorized_official_last_name": "BEG",
"authorized_official_first_name": "SUMBUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-347-0063",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "A78806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1437127560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.