MRS. ANGELA CHRISTINE STORCK-PETERSEN

Address: 11768 Caminito Corriente, San Diego, CA 92128
Phone: 6268404177

MRS. ANGELA CHRISTINE STORCK-PETERSEN (NPI# 1346623634) 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) 1346623634
Entity Type Individual
Full Name MRS. ANGELA CHRISTINE STORCK-PETERSEN
Other Name MS. ANGELA CHRISTINE HARVEL
Credential MPH, RD, LD
Practice Address 11768 Caminito Corriente
San Diego
CA 92128
Mailing Address 11768 Caminito Corriente
San Diego
CA 92128-4548
Practice Telephone 6268404177
Practice Fax Number 6267687671
Mailing Telephone 6268404177
Mailing Fax Number 6267687671
Enumeration Date 2015-07-04
Last Update Date 2018-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered 32903-DI-2 NV Dietary & Nutritional Service Providers
Y 133V00000X Dietitian, Registered 1051996 CA Dietary & Nutritional Service Providers

Office Location

Street Address 11768 CAMINITO CORRIENTE
City SAN DIEGO
State CA
Zip Code 92128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585371 Alicia Ford Behavior Technician 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 2020-07-08
1164087573 Madeleine White Dietitian, Registered 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 2019-05-01
1053807677 Joele Ghosn Speech-Language Pathologist 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 2018-07-06
1376034348 Eddie Reginald Burston II In Home Supportive Care 12727 Camino Emparrado, San Diego, CA 92128 2018-05-24
1336659218 Ryan Fong Physician Assistant 15004 Innovation Drive (s97), San Diego, CA 92128 2017-10-05
1508316191 Araceli Flores Behavioral Analyst 15737 Innovation Dr, Suite 200, San Diego, CA 92128 2016-10-07
1003283961 Katherine Dishner Hearing Instrument Specialist 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 2015-08-27
1205212586 Mobilia Dmd Inc. Point of Service 12405 Rancho Bernardo Rd., San Diego, CA 92128 2015-08-10
1134526874 Breeana Rose Lancaster Speech-Language Pathologist 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 2014-11-24
1730595570 Charity Fluegge Developmental Therapist 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128 2014-07-01
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336749449 Sd Nutrition Group Dietitian, Registered 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 2020-10-28
1629685987 Erin Reeves Dietitian, Registered 8701 Lake Athabaska Way, San Diego, CA 92119-2825 2020-09-29
1033721907 Feeding Your Soul Nutrition, LLC Dietitian, Registered 10622 Golden Willow Unit 125, San Diego, CA 92130-4930 2020-08-20
1043821333 Tammy Manse Dietitian, Registered 2166 Pine St, San Diego, CA 92103-1523 2020-08-11
1992315691 Dawn Michelle Rutherford Dietitian, Registered 4320 Viewridge Ave, San Diego, CA 92123-1690 2020-08-06
1821606344 Andrea Michelle Kent Dietitian, Registered 5305 Cass St, San Diego, CA 92109-1207 2020-07-21
1841808003 Sapna Bhalsod Dietitian, Registered 4816 W Mountain View Dr Apt 6, San Diego, CA 92116-1758 2020-07-14
1053937557 Nicole Gomez Dietitian, Registered 4965 Corlita Ct, San Diego, CA 92122-3930 2020-06-19
1992320154 Sarah Jamila Venters Dietitian, Registered 10379 Westward Ct, San Diego, CA 92131-6152 2020-06-13
1366066847 Kathryn Baker Ward Dietitian, Registered 4321 Maryland St, San Diego, CA 92103-2333 2020-06-01
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Competitor

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City SAN DIEGO
Zip Code 92128

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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.