Individual provider Active NPI

Bernadine Mary Alaniz

  • Nutritionist
  • Encino, CA
National Provider Identifier
1740910165
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
5139 White Oak Ave
Apartment 1
Encino, CA 91316
Phone
(858) 335-9240
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

5139 White Oak Ave
Apartment 1
Encino, CA 91316

Mailing address

5139 White Oak Ave Apt 1
Encino, CA 91316-2432
Phone (858) 335-9240

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL bmalaniz@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321002762 CA Practitioner - Registered Dietitian Or Nutrition Professional 9133593783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1740910165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 WHITE OAK AVE APT 1",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162432",
            "telephone_number": "858-335-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 WHITE OAK AVE",
            "address_2": "APARTMENT 1",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "858-335-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALANIZ",
        "first_name": "BERNADINE",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bmalaniz@gmail.com",
            "affiliation": "N",
            "address_1": "5139 White Oak Ave",
            "address_2": "Apartment 1",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.