Individual provider Active NPI

Andrea Lee Milton, RD, CDE

  • Registered Dietitian
  • West Hills, CA
National Provider Identifier
1861795791
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
859147 Issued in CA
Practice address
7722 Capistrano Ave
West Hills, CA 91304-5404
Phone
(818) 317-5636
Fax
(818) 912-6516
NPI assigned
Dec 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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 859147 CA Primary

Addresses

Primary practice location

7722 Capistrano Ave
West Hills, CA 91304-5404

Mailing address

7722 Capistrano Ave
West Hills, CA 91304-5404
Phone (818) 317-5636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000805 CA Practitioner - Registered Dietitian Or Nutrition Professional 3173708856 Reassigns benefits to 1 organization
Practice locations: Woodland Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22554 Ventura Blvd
Suite 205
Woodland Hills, CA 91364-1478
Phone (818) 330-4021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Educare Nutrition and Diabetes LLC Dietitian, Registered CurrentSince May 20, 2012 Accepting new patients

Locations

22554 Ventura Blvd
Ste 205
Woodland Hls, CA 91364
Phone (818) 222-2080

Organizations & group practices 1

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": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1861795791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 CAPISTRANO AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913045404",
            "telephone_number": "818-317-5636",
            "fax_number": "818-912-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7722 CAPISTRANO AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913045404",
            "telephone_number": "818-317-5636",
            "fax_number": "818-912-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTON",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "859147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.