Active NPI
Nutrition Studio & Diabetes Care Center Inc
- Registered Dietitian
- Tracy, CA
National Provider Identifier
1942500392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- R703135
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryLocations
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.