Active NPI
South Coast Wellness Inc
- Registered Dietitian
- Costa Mesa, CA
National Provider Identifier
1902700180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SOUTH COAST WELLNESS INC
- Practice address
- 151 Kalmus Dr Ste A104
Costa Mesa, CA 92626-5900 - Phone
- (949) 220-0850
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Lynn Ellsworth, RDN
- Title
- Owner/Ceo
- Phone
- (949) 220-0850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
151 Kalmus Dr Ste A104
Costa Mesa, CA 92626-5900
Mailing address
151 Kalmus Dr Ste A104
Costa Mesa, CA 92626-5900
Phone (949) 220-0850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1902700180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 KALMUS DR STE A104",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265900",
"telephone_number": "949-220-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 KALMUS DR STE A104",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265900",
"telephone_number": "949-220-0850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH COAST WELLNESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "ELLSWORTH",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "949-220-0850",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
- South Coast Counseling, Inc.
- South Coast Rehabilitation Center
- South Coast Specialty Surgery Center, Inc.
- South Coast Surgical Care, Inc.
- South Coast Traverse
- South West Health Chiropractic Center Inc
- South West Health Radiology, Inc.
- Southern California Alcohol & Drug Programs, Inc. (Heritage House)
- Southern California Orthopedic & Rehab Specialists
- Southern California Portable X-Ray &Ekg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.