Individual provider Active NPI

Frida Hovik, MS, RDN

  • Registered Dietitian
  • Santa Monica, CA
National Provider Identifier
1992450662
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86153588 Issued in CA
Practice address
1260 15TH St Ste PH
Santa Monica, CA 90404-1135
Phone
(424) 785-9099
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86153588 CA Primary

Addresses

Primary practice location

1260 15TH St Ste PH
Santa Monica, CA 90404-1135

Mailing address

1260 15TH St Ste PH
Santa Monica, CA 90404-1135

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL PracticeFusion
Other URL Practice

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86153588CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1992450662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 15TH ST STE PH",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 15TH ST STE PH",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041135",
            "telephone_number": "424-785-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVIK",
        "first_name": "FRIDA",
        "name_prefix": "Miss",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86153588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "address_1": "1260 15th St Ste Ph",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904041135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Practice",
            "affiliation": "N",
            "address_1": "1260 15th St Ste Ph",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904041135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.