Pure Nutrition, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PURE NUTRITION, INC.

Practice address

830 Polaris Dr
Tustin, CA 92782-1720

Phone

(949) 870-7506

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Eileen Hsiung, RDNNPI 1912507708

Title

President

Phone

(949) 870-7506

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen Hsiung, RDN

  • Registered Dietitian
  • Tustin, CA
  • NPI 1912507708

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1811570401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 POLARIS DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821720",
            "telephone_number": "949-870-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 POLARIS DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821720",
            "telephone_number": "949-870-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE NUTRITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "HSIUNG",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-870-7506",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "purenutritionoc@gmail.com",
            "affiliation": "N",
            "address_1": "830 Polaris Dr",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927821720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Tustin, CA
• Providers in Tustin, 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 30, 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.