Diana C Andrew

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

Legal business name

DIANA C ANDREW

Doing business as

Creative Nutrition Consulting

Practice address

765 N Main St Ste 130
Corona, CA 92880-1440

Phone

(818) 856-7257

NPI assigned

Jun 26, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Andrew

Title

Owner

Phone

(818) 856-7257

Specialties & licenses 1

Addresses

Other names 1

• Creative Nutrition Consulting Doing business as

Locations

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1861053134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 EUREKA ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N MAIN ST STE 130",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928801440",
            "telephone_number": "818-856-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA C ANDREW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-856-7257"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Nutrition Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creative Nutrition Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desouza Medical Group Inc
• Steven Michael Deterville, MD
• Krista Dewindt
• Sheenum Dhiman
• Umadevi Dhulia
• Diane Boval DDS a Professional Dental Corp (Gold Coast Dental)
• Brianna Naomi Diaz
• Coral Diaz
• Emily Beatriz Diaz
• Ivanna Diaz

• Metabolic Nutrition Registered Dietitian in Corona, CA
• Providers in Corona, CA by specialty
• Metabolic Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.