Individual provider Active NPI

Marcela de Fatima Heim Edelman, M.S., R.D.N, F.A.N.D

  • Registered Dietitian
  • Beaumont, CA
National Provider Identifier
1841330180
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1680 Clark CRK
Beaumont, CA 92223-7329
Phone
(909) 528-0873
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1680 Clark CRK
Beaumont, CA 92223-7329

Mailing address

1680 Clark CRK
Beaumont, CA 92223-7329
Phone (909) 528-0873

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1841330180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 CLARK CRK",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237329",
            "telephone_number": "909-528-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 CLARK CRK",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237329",
            "telephone_number": "909-528-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM EDELMAN",
        "first_name": "MARCELA DE FATIMA",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D.N, F.A.N.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.