Active NPI
Pamela Lee, MPH, RD, CDE
- Registered Dietitian
- Santa Monica, CA
National Provider Identifier
1912019803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 803731
- Practice address
- 1801 Wilshire Blvd
100
Santa Monica, CA 90403-5609 - Phone
- (310) 828-7172
- Fax
- (310) 828-8662
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 803731 | CA | |
| Registered Dietitian | 133V00000X | 803731 | CA | Primary |
| Nutrition Education Nutritionist | 133NN1002X | 803731 | CA | |
| Dietary Manager | 132700000X | 803731 | CA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 803731 | CA |
Addresses
Primary practice location
1801 Wilshire Blvd
100
Santa Monica, CA 90403-5609
Mailing address
5767 W Century Blvd
Suite 200
Los Angeles, CA 90045-5632
Phone (310) 828-7172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0NT803731 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803731 | CA | MD | Dietary Manager |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1912019803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455632",
"telephone_number": "310-828-7172",
"fax_number": "310-828-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 WILSHIRE BLVD",
"address_2": "100",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035609",
"telephone_number": "310-828-7172",
"fax_number": "310-828-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PAMELA",
"credential": "MPH, RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "803731",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "803731",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "803731",
"primary": false
},
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "CA",
"license": "803731",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "803731",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0NT803731",
"state": "CA"
}
],
"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 Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.