MISS NICHOLE BALANDRAN


Address: 1201 W La Veta Ave, Orange, CA 92868-4203
Phone: 7149973000

MISS NICHOLE BALANDRAN (NPI# 1841697208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841697208
Entity Type Individual
Full Name MISS NICHOLE BALANDRAN
Credential R.D.
Practice Address 1201 W La Veta Ave
Orange
CA 92868-4203
Mailing Address 423 Via Vis
Montebello
CA 90640-2948
Practice Telephone 7149973000
Mailing Telephone 7602184489
Enumeration Date 2014-12-01
Last Update Date 2014-12-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered 1081293 CA Dietary & Nutritional Service Providers
Y 136A00000X Dietetic Technician, Registered 1081293 CA Dietary & Nutritional Service Providers

Office Location

Street Address 1201 W LA VETA AVE
City ORANGE
State CA
Zip Code 92868-4203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477552941 Roberto Limgenco Barretto Otolaryngology 1201 W La Veta Ave, Ste. 311, Orange, CA 92868-4213 2005-07-18
1083212054 Mercy Air Service, Inc. Ambulance 1201 W La Veta Ave, Orange, CA 92868-4203 2020-10-13
1225641418 Jonathan Chodosh Strok Nurse Practitioner 1201 W La Veta Ave, Orange, CA 92868-4203 2020-08-26
1881206779 Emma Lind Nurse Practitioner 1201 W La Veta Ave, Orange, CA 92868-4203 2020-08-20
1750993622 Natalie Michelle Adame Nurse Practitioner 1201 W La Veta Ave, Orange, CA 92868-4203 2020-08-20
1578172946 Olivia Armour Tiffany Psychologist 1201 W La Veta Ave, Orange, CA 92868-4203 2020-07-30
1376161323 Tina Halabian Student in an Organized Health Care Education/Training Program 1201 W La Veta Ave, Orange, CA 92868-4203 2020-07-07
1538786041 Alyssa Marie Ramos-chavez Psychologist 1201 W La Veta Ave, Orange, CA 92868-4203 2020-06-30
1588281265 Tiffany Thao Vo Student in an Organized Health Care Education/Training Program 1201 W La Veta Ave, Orange, CA 92868-4203 2020-06-29
1801423769 Jonathan Thorpe Student in an Organized Health Care Education/Training Program 1201 W La Veta Ave, Orange, CA 92868-4203 2020-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346859386 Sadaf Abrishami Pharmacist 101 The City Dr S., Orange, CA 92868 2020-07-27
1245869825 Helena Yijia Hong Student in an Organized Health Care Education/Training Program Uci Medical Center, 101 The City Drive, Orange, CA 92868 2020-04-06
1932736527 Joshua Kristopher Livingston Student in an Organized Health Care Education/Training Program 101 The City Dr S, Rte. 128-01, Orange, CA 92868 2020-03-24
1831725894 Michelle Brown Student in an Organized Health Care Education/Training Program 101 The City Dr S. Rte 128-01, Orange, CA 92868 2020-03-20
1093363491 Kristin Lee Pharmacist 132 S. Anita Dr., Orange, CA 92868 2019-08-28
1740834217 Matthew Brian Mecheal Dentist 725 W. La Veta Suite 260, Orange, CA 92868 2019-08-01
1245897990 Brent Tyler Louie Student in an Organized Health Care Education/Training Program 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 2019-05-28
1093277972 Danielle Amato Student in an Organized Health Care Education/Training Program Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 2019-04-01
1851852206 Julia Ting Bu Student in an Organized Health Care Education/Training Program Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 2019-03-28
1326507344 Harrison Beene Lowder Student in an Organized Health Care Education/Training Program 505 S. Main St, Suite 525, Orange, CA 92868 2019-03-19
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Taxonomy Information

Taxonomy Code 136A00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietetic Technician, Registered

Taxonomy Definition

A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023626223 Sapna Jaya Peruvemba Dietetic Technician, Registered 12251 Toluca Dr, San Ramon, CA 94583-2651 2020-07-14
1740810886 Natalie Plinneke Dietetic Technician, Registered 10 Ragsdale Dr Ste 200, Monterey, CA 93940-7813 2020-01-16
1376181131 Ashley Chung Dietetic Technician, Registered 22904 Colombard Ln Unit 3, Diamond Bar, CA 91765-2586 2019-12-11
1831663863 Corinne Kantor Dietetic Technician, Registered 55 Paseo Primero, Rancho Santa Margarita, CA 92688-3361 2019-01-12
1023507282 Olutosin Kirya Dietetic Technician, Registered 31654 Rancho Viejo Rd Ste G, San Juan Capistrano, CA 92675-2774 2018-05-03
1740729995 Brenda Morales Dietetic Technician, Registered 15105 Sherman Way Apt 317, Van Nuys, CA 91405-2013 2017-02-21
1952853582 Dmarkis Randolph Dietetic Technician, Registered 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 2016-10-31
1295280907 Shannon Loman Dietetic Technician, Registered 685 San Ramon Dr, Santa Barbara, CA 93111-2623 2016-08-23
1467505560 Gloria Salanap Felipe Dietetic Technician, Registered 801 Los Molinos Way, Sacramento, CA 95864-5251 2007-01-19
1326065160 Diabetes Society Dietetic Technician, Registered 1165 Lincoln Ave, #300, San Jose, CA 95125-3038 2006-07-17
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Competitor

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City ORANGE
Zip Code 92868

Improve Information

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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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