Active NPI
Beth Mundell, RD
- Registered Dietitian
- Costa Mesa, CA
National Provider Identifier
1699718288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 717253
- Practice address
- 1901 Newport Blvd
Suite 175
Costa Mesa, CA 92627-2278 - Phone
- (949) 764-6240
- Fax
- (949) 642-7703
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 717253 | Primary |
Addresses
Primary practice location
1901 Newport Blvd
Suite 175
Costa Mesa, CA 92627-2278
Mailing address
24642 Mosquero LN
Mission Viejo, CA 92691-4913
Phone (949) 764-6240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WNT717253A | Other | CA | PPIN |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Rehabilitation Hospital Unit
- Newport Beach, CA
- NPI 1750875670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699718288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24642 MOSQUERO LN",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926914913",
"telephone_number": "949-764-6240",
"fax_number": "949-642-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 NEWPORT BLVD",
"address_2": "SUITE 175",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926272278",
"telephone_number": "949-764-6240",
"fax_number": "949-642-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDELL",
"first_name": "BETH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "717253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "WNT717253A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.