Active NPI
Whitney Lau, RD
- Registered Dietitian
- San Jose, CA
National Provider Identifier
1750049425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86107373
- Practice address
- 325 Phelan Ave
San Jose, CA 95112-4104 - Phone
- (408) 338-8488
- NPI assigned
- Nov 30, 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 | 86107373 | CA | Primary |
Addresses
Primary practice location
325 Phelan Ave
San Jose, CA 95112-4104
Mailing address
325 Phelan Ave
San Jose, CA 95112-4104
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 |
|---|---|---|---|
| 86107373 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neyana Wellness LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
325 Phelan Ave
San Jose, CA 95112
Phone (408) 338-8488
Organizations & group practices 3
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": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1750049425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PHELAN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PHELAN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124104",
"telephone_number": "408-338-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "WHITNEY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86107373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.