Active NPI
Nicole Demasi Malcher, MS, RD, CDCES
- Registered Dietitian
- Manhattan Beach, CA
National Provider Identifier
1891295689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1041428
- Practice address
- 2711 N Sepulveda Blvd # 1028
Manhattan Beach, CA 90266-2725 - Phone
- (424) 284-8770
- NPI assigned
- Feb 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1041428 | CA | Primary |
Addresses
Primary practice location
2711 N Sepulveda Blvd # 1028
Manhattan Beach, CA 90266-2725
Mailing address
2711 N Sepulveda Blvd # 1028
Manhattan Beach, CA 90266-2725
Phone (424) 284-8770
Other names 1
- Nicole Demasi
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041428 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | 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": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1891295689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 N SEPULVEDA BLVD # 1028",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662725",
"telephone_number": "424-284-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 N SEPULVEDA BLVD # 1028",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662725",
"telephone_number": "424-284-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMASI MALCHER",
"first_name": "NICOLE",
"credential": "MS, RD, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1041428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "DEMASI",
"credential": "MS, RD, CDCES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.