Active NPI
Lauren Athena Papanos, MS, RD, CSSD
- Registered Dietitian
- El Cajon, CA
National Provider Identifier
1831648435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86038027
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Other | UNITED HEALTHCARE | |
| 258298 | Other | HEALTH NET | |
| 0000 | Other | CA | ANTHEM 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86038027 | CA | MD | Registered Dietitian |
| DT84413 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New 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.