Organization Active NPI

Nutrition Studio & Diabetes Care Center Inc

  • Registered Dietitian
  • Tracy, CA
National Provider Identifier
1942500392
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
R703135 Issued in CA
Legal business name
NUTRITION STUDIO & DIABETES CARE CENTER INC
Practice address
471 W Eaton Ave
Tracy, CA 95376-3420
Phone
(209) 832-3432
Fax
(209) 839-6742
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Pamela Sue Warmerdam, RD
Title
Diabetes Educator and Program Direc
Phone
(209) 832-3432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X R703135 CA Primary

Addresses

Primary practice location

471 W Eaton Ave
Tracy, CA 95376-3420

Mailing address

471 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 832-3432

National Provider Directory

National Provider Directory

Locations

471 W Eaton Ave
Tracy, CA 95376
Phone (209) 832-3432

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1942500392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 W EATON AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763420",
            "telephone_number": "209-832-3432",
            "fax_number": "209-839-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 W EATON AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763420",
            "telephone_number": "209-832-3432",
            "fax_number": "209-839-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION STUDIO & DIABETES CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "WARMERDAM",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIABETES EDUCATOR AND PROGRAM DIREC",
        "authorized_official_telephone_number": "209-832-3432",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "R703135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.