Organization Active NPI

Emily Bejtlich, Ms, RDN Nutrition, LLC

  • Registered Dietitian
  • Santa Monica, CA
National Provider Identifier
1891452744
Registry record updated Nov 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EMILY BEJTLICH, MS, RDN NUTRITION, LLC
Practice address
2001 Wilshire Blvd Ste 505
Santa Monica, CA 90403-5640
Phone
(774) 487-8322
NPI assigned
Nov 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2021

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

Authorized official

Name
Emily Bejtlich, RDNNPI 1720745086
Title
Dietitian
Phone
(774) 487-8322

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 SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2001 Wilshire Blvd Ste 505
Santa Monica, CA 90403-5640

Mailing address

8391 Beverly Blvd Unit 112
Los Angeles, CA 90048-2633

National Provider Directory

National Provider Directory

Locations

8391 Beverly Blvd
Unit 112
Los Angeles, CA 90048

2001 Wilshire Blvd
Ste 505
Santa Monica, CA 90403
Phone (310) 367-2227

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": "1637798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637798400000",
    "number": "1891452744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 BEVERLY BLVD UNIT 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 505",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035640",
            "telephone_number": "774-487-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY BEJTLICH, MS, RDN NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-25",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A",
        "authorized_official_last_name": "BEJTLICH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "774-487-8322",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; 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.