Organization Active NPI

Endocrinology, Metabolism and Clinical Nutrition Practice

  • Metabolic Nutrition Registered Dietitian
  • San Mateo, CA
National Provider Identifier
1669748026
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
A78806 Issued in CA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1437127560OtherCAMEDICARE NPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.