Mr. Vaughn Darst
Dietitian, Registered

Address: 1231 S Plymouth Blvd Apt 102, Los Angeles, CA 90019-6881
Phone: 5622902431

Mr. Vaughn Darst (NPI# 1679110746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1679110746
Entity Type Individual
Full Name Mr. Vaughn Darst
Credential RD
Gender Male
Practice Address 1231 S Plymouth Blvd Apt 102
Los Angeles
CA 90019-6881
Practice Telephone 5622902431
Practice Fax Number 5622641215
Mailing Address 1231 S Plymouth Blvd Apt 102
Los Angeles
CA 90019-6881
Mailing Telephone 5622902431
Mailing Fax Number 5622641215
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-12-06
Last Update Date 2019-12-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers 86107794 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 86107794 OTHER COMMISSION ON DIETETIC REGISTRATION

Secondary Practice Locations

Address Telephone Number Fax Number
1231 S Plymouth Blvd Apt 102, Los Angeles, CA 900196881 5622902431 5622641215
21515 Hawthorne Blvd Ste 370, Torrance, CA 905036556 4243415407

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

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1245701796 Amanda Michelle Smith Dietitian, Registered 3992 Inglewood Blvd Apt 19, Los Angeles, CA 90066-4690 2018-12-10
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Office Location

Street Address 1231 S PLYMOUTH BLVD APT 102
City LOS ANGELES
State CA
Zip Code 90019-6881

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1467890160 Denise Breheny Lactation Consultant, Non-RN 1053 Carmona Ave., Los Angeles, CA 90019 2013-06-05
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Competitor

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City LOS ANGELES
Zip Code 90019

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Dataset Information

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.

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