Active NPI
Emily Bejtlich, RDN
- Registered Dietitian
- Santa Monica, CA
National Provider Identifier
1720745086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86151189
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86151189 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Bejtlich, Ms, RDN Nutrition, LLC | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- Santa Monica, CA
- NPI 1891452744
Dietitian, Registered
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.