Individual provider Active NPI

Emily Bejtlich, RDN

  • Registered Dietitian
  • Santa Monica, CA
National Provider Identifier
1720745086
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86151189 Issued in CA
Practice address
2001 Wilshire Blvd Ste 505
Santa Monica, CA 90403-5640
Phone
(774) 487-8322
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86151189 CA Primary

Addresses

Primary practice location

2001 Wilshire Blvd Ste 505
Santa Monica, CA 90403-5640

Mailing address

8391 Beverly Blvd Unit 112
Los Angeles, CA 90048-2633
Phone (774) 487-8322

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86151189CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Bejtlich, Ms, RDN Nutrition, LLC Dietitian, Registered CurrentSince Nov 28, 2021 Accepting new patients

Locations

8391 Beverly Blvd
Unit 112
Los Angeles, CA 90048

2001 Wilshire Blvd
Ste 505
Santa Monica, CA 90403
Phone (310) 367-2227

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1720745086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 BEVERLY BLVD UNIT 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482633",
            "telephone_number": "774-487-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 505",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035640",
            "telephone_number": "774-487-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJTLICH",
        "first_name": "EMILY",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86151189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.