Active NPI
Esther Berenhaut, RD, CSP, CSR
- Pediatric Nutrition Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1912427972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 858521
- Practice address
- 4650 W Sunset Blvd # Ms 40
Los Angeles, CA 90027-6062 - Phone
- (323) 361-3472
- Fax
- (323) 361-1184
- NPI assigned
- Jun 21, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 858521 | Primary |
Addresses
Primary practice location
4650 W Sunset Blvd # Ms 40
Los Angeles, CA 90027-6062
Mailing address
4650 W Sunset Blvd # Ms 40
Los Angeles, CA 90027-6062
Phone (323) 361-3472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 858521 | Other | ACADEMY OF NUTRITION AND DIETETICS |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1912427972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # MS 40",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-3472",
"fax_number": "323-361-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # MS 40",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-3472",
"fax_number": "323-361-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENHAUT",
"first_name": "ESTHER",
"name_prefix": "Ms.",
"credential": "RD, CSP, CSR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": "858521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACADEMY OF NUTRITION AND DIETETICS",
"identifier": "858521",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.