Individual provider Active NPI

Lauren Athena Papanos, MS, RD, CSSD

  • Registered Dietitian
  • El Cajon, CA
National Provider Identifier
1831648435
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86038027 Issued in CA
Practice address
886 Singing Trails Dr
El Cajon, CA 92019-2756
Phone
(619) 379-2416
NPI assigned
Sep 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT84413 TX
Registered Dietitian 133V00000X 86038027 CA Primary

Addresses

Primary practice location

886 Singing Trails Dr
El Cajon, CA 92019-2756

Mailing address

23442 Batey Ave
Harbor City, CA 90710-1204
Phone (619) 379-2416

Other practice location 1

3685 Motor Ave Ste 220
Los Angeles, CA 90034-5746
Phone (619) 379-2416

Other practice location 2

23442 Batey Ave
Harbor City, CA 90710-1204
Phone (619) 379-2416

Other identifiers 3

IdentifierTypeStateIssuer
0000OtherUNITED HEALTHCARE
258298OtherHEALTH NET
0000OtherCAANTHEM BC OF CA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86038027CAMDRegistered Dietitian
DT84413TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Pampanos Dietitian, Registered Past Accepting new patients

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": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1831648435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23442 BATEY AVE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101204",
            "telephone_number": "619-379-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 SINGING TRAILS DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192756",
            "telephone_number": "619-379-2416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3685 Motor Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900345746",
            "country_code": "US",
            "telephone_number": "619-379-2416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23442 Batey Ave",
            "address_purpose": "LOCATION",
            "city": "Harbor City",
            "state": "CA",
            "postal_code": "907101204",
            "country_code": "US",
            "telephone_number": "619-379-2416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPANOS",
        "first_name": "LAUREN",
        "middle_name": "ATHENA",
        "credential": "MS, RD, CSSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84413",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86038027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "258298",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC OF CA",
            "identifier": "0000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.