Active NPI
Julia Brown, RDN
- Registered Dietitian
- Rancho Palos Verdes, CA
National Provider Identifier
1861015166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86054657
- Practice address
- 5823 Flambeau Rd
Rancho Palos Verdes, CA 90275-2154 - Phone
- (310) 421-6715
- NPI assigned
- May 20, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | CA | ||
| Registered Dietitian | 133V00000X | 86054657 | CA | Primary |
| Registered Dietitian | 133V00000X |
Addresses
Primary practice location
5823 Flambeau Rd
Rancho Palos Verdes, CA 90275-2154
Mailing address
5823 Flambeau Rd
Rancho Palos Verdes, CA 90275-2154
Phone (310) 421-6715
Other practice location 1
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900 ext. 7867
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 |
|---|---|---|---|
| 86054657 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1861015166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5823 FLAMBEAU RD",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902752154",
"telephone_number": "310-421-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5823 FLAMBEAU RD",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902752154",
"telephone_number": "310-421-6715"
}
],
"practiceLocations": [
{
"address_1": "3630 E Imperial Hwy",
"address_purpose": "LOCATION",
"city": "Lynwood",
"state": "CA",
"postal_code": "902622609",
"country_code": "US",
"telephone_number": "310-900-8900 x7867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JULIA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86054657",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.