Organization Active NPI

Persimmon Nutriton

  • Registered Dietitian
  • Burlingame, CA
National Provider Identifier
1831859362
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PERSIMMON NUTRITON
Practice address
208 Burlingame Ave
Burlingame, CA 94010-2828
Phone
(408) 230-6062
NPI assigned
Dec 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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

Authorized official

Name
Hava Ungar, MPH, RDN, CDCESNPI 1346799442
Title
RDN
Phone
(650) 204-0573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

208 Burlingame Ave
Burlingame, CA 94010-2828

Mailing address

208 Burlingame Ave
Burlingame, CA 94010-2828
Phone (408) 230-6062

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://persimmonnutrition.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640304000000",
    "number": "1831859362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BURLINGAME AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102828",
            "telephone_number": "408-230-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BURLINGAME AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102828",
            "telephone_number": "408-230-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSIMMON NUTRITON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-24",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "UNGAR",
        "authorized_official_first_name": "HAVA",
        "authorized_official_title_or_position": "RDN",
        "authorized_official_telephone_number": "650-204-0573",
        "authorized_official_credential": "MPH, RDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://persimmonnutrition.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "208 Burlingame Ave",
            "city": "Burlingame",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940102828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.