Active NPI
Pamela Wolf, RD
- Registered Dietitian
- Hemet, CA
National Provider Identifier
1932397635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 847852
- Practice address
- 35480 Pony Trail Rd
Hemet, CA 92545-2124 - Phone
- (951) 640-4148
- NPI assigned
- Oct 9, 2007
- 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 | 847852 | CA | Primary |
Addresses
Primary practice location
35480 Pony Trail Rd
Hemet, CA 92545-2124
Mailing address
35480 Pony Trail Rd
Hemet, CA 92545-2124
Phone (951) 640-4148
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1932397635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35480 PONY TRAIL RD",
"city": "HEMET",
"state": "CA",
"postal_code": "925452124",
"telephone_number": "951-640-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35480 PONY TRAIL RD",
"city": "HEMET",
"state": "CA",
"postal_code": "925452124",
"telephone_number": "951-640-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "PAMELA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "847852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.