NPIMap

Organization Active NPI

Nutrition by Gwen Consulting Corp.

  • Registered Dietitian
  • Huntington Beach, CA
National Provider Identifier
1861009870
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION BY GWEN CONSULTING CORP.
Practice address
18821 Delaware St Ste 236
Huntington Beach, CA 92648-1935
Phone
(714) 552-3802
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Gwendolyn Moore, MPH, RDNPI 1144363037
Title
Owner
Phone
(714) 552-3802

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 MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

18821 Delaware St Ste 236
Huntington Beach, CA 92648-1935

Mailing address

11821 Delaware St. Ste. 236
Huntington Beach, CA 92648
Phone (714) 552-3802

National Provider Directory

National Provider Directory

Locations

18821 Delaware St
Ste 236
Huntington Beach, CA 92648
Phone (714) 552-3802

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1861009870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 DELAWARE ST. STE. 236",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-552-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18821 DELAWARE ST STE 236",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481935",
            "telephone_number": "714-552-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION BY GWEN CONSULTING CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-552-3802",
        "authorized_official_credential": "MPH, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.