Organization Active NPI

Socal Nutrition & Wellness Inc

  • Registered Dietitian
  • Newport Beach, CA
National Provider Identifier
1962213363
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SOCAL NUTRITION & WELLNESS INC
Practice address
1100 Quail St Ste 111
Newport Beach, CA 92660-2779
Phone
(949) 478-2288
Fax
(949) 401-6853
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Janice Dada, MPH, RDNNPI 1356540439
Title
Ceo
Phone
(949) 478-2288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1100 Quail St Ste 111
Newport Beach, CA 92660-2779

Mailing address

44 Auvergne
Newport Coast, CA 92657-1090
Phone (310) 270-8985

National Provider Directory

National Provider Directory

Locations

1100 Quail St
Ste 111
Newport Beach, CA 92660
Phone (949) 223-0105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1962213363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 AUVERGNE",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571090",
            "telephone_number": "310-270-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 QUAIL ST STE 111",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602779",
            "telephone_number": "949-478-2288",
            "fax_number": "949-401-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL NUTRITION & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "DADA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-478-2288",
        "authorized_official_credential": "MPH, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.