Active NPI
Ophelia Woo, RD, MPH
- Registered Dietitian
- Garden Grove, CA
National Provider Identifier
1962782177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1047259
- Practice address
- 12688 Chapman Ave
Apt 3315
Garden Grove, CA 92840-4041 - Phone
- (206) 617-3360
- NPI assigned
- Aug 18, 2011
- 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 | 1047259 | CA | Primary |
Addresses
Primary practice location
12688 Chapman Ave
Apt 3315
Garden Grove, CA 92840-4041
Mailing address
12688 Chapman Ave
Apt 3315
Garden Grove, CA 92840-4041
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047259 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1962782177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12688 CHAPMAN AVE",
"address_2": "APT 3315",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12688 CHAPMAN AVE",
"address_2": "APT 3315",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404041",
"telephone_number": "206-617-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "OPHELIA",
"credential": "RD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1047259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.