Renu Eating Disorder Treatment

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RENU EATING DISORDER TREATMENT

Practice address

3381 Walnut Blvd Ste 200B
Brentwood, CA 94513-4495

Phone

(925) 252-5922

NPI assigned

Jan 17, 2024

Last updated

Apr 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marisa Hernandez, RDNPI 1861272213

Title

Registered Dietitian

Phone

(925) 252-5922

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marisa Rene Hernandez, RD

  • Registered Dietitian
  • Brentwood, CA
  • NPI 1861272213

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743811200000",
    "number": "1700647740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 WALNUT BLVD STE 200B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134495",
            "telephone_number": "925-252-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 WALNUT BLVD STE 200B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134495",
            "telephone_number": "925-252-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU EATING DISORDER TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "925-252-5922",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.