MISS AUDRA L GUSTAFSON (NPI# 1790961456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790961456 |
| Entity Type | Individual |
| Full Name | MISS AUDRA L GUSTAFSON |
| Credential | RD |
| Practice Address |
1600 San Fernando Rd San Fernando CA 91340-3115 |
| Mailing Address |
1172 N Maclay Ave San Fernando CA 91340-1328 |
| Practice Telephone | 8183658086 |
| Mailing Telephone | 8188981388 |
| Mailing Fax Number | 8182709590 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 948201 | CA | Dietary & Nutritional Service Providers |
| Street Address |
1600 SAN FERNANDO RD |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942201769 | Nasser Baradaran | Obstetrics & Gynecology | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2005-08-02 |
| 1760080915 | Yvonne Shih | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2020-10-10 |
| 1316422017 | Etsuko Takehana Jacobs | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-09-27 |
| 1326528050 | Emily Jean Weitzel | Pediatrics | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-08-21 |
| 1750874434 | Oliver Ubeda | Pharmacist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-06-07 |
| 1356834022 | Armine Movsesyan | Pharmacist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-06-07 |
| 1104318914 | Larisa Gorelik | Pharmacist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-06-06 |
| 1245777176 | Leonard A Feigenbaum Md A Medical Corporation | Radiology | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2017-01-30 |
| 1972976827 | Artashes Rubik Khachatryan | Pharmacist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2015-11-01 |
| 1104229616 | Aqeela Athar | Dental Hygienist | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2014-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699171314 | Jessica King | Dietitian, Registered | 531 5th St Unit A, San Fernando, CA 91340-2269 | 2014-11-06 |
| 1205397783 | Sandy D Flores | Dietitian, Registered | 732 Mott St Ste 100-110, San Fernando, CA 91340-4237 | 2019-03-27 |
| 1942541875 | Partners In Care Foundation Inc | Dietitian, Registered | 732 Mott St, Ste 150, San Fernando, CA 91340-4237 | 2013-03-01 |
| 1336379759 | Karol Ann Matson | Dietitian, Registered | 732 Mott St, Suite150, San Fernando, CA 91340-4237 | 2009-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083448 | Fuad Al Qudsi | Dietitian, Registered | 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 | 2020-11-08 |
| 1700487535 | Katherine Zanville | Dietitian, Registered | 4928 Bellaire Ave, Valley Village, CA 91607-3419 | 2020-11-06 |
| 1760083711 | Gabriela E Zeagler | Dietitian, Registered | 1522 Halifax Way, El Dorado Hills, CA 95762-5841 | 2020-11-05 |
| 1427659796 | Yun Chieh Huang | Dietitian, Registered | 733 W Naomi Ave, Arcadia, CA 91007-7561 | 2020-11-03 |
| 1497356794 | Jelena Etemovic | Dietitian, Registered | 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 | 2020-11-03 |
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1912507708 | Eileen Hsiung | Dietitian, Registered | 830 Polaris Dr, Tustin, CA 92782-1720 | 2020-10-29 |
| 1912507831 | Aneeta Maria Vedula | Dietitian, Registered | 4371 Lombard Ave, Fremont, CA 94536-4929 | 2020-10-29 |
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1952901373 | Rubit Quintero-cobian | Dietitian, Registered | 3557 Willis Dr, Napa, CA 94558-2452 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.