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Active NPI 1225577208 Individual Practitioner Female Practitioner

Amanda Blake , MS, RD

Dietitian, Registered • Simi Valley, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Blake, MS, RD is a certified Dietitian, Registered practicing in Simi Valley, CA. With approximately 11 years of clinical experience since completing medical education in 2015, Amanda Blake delivers high-quality medical care to the local community at 1672 SYCAMORE DR APT 302.

Amanda Blake accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1672 Sycamore Dr Apt 302

Simi Valley, CA 930653733

Telephone 8054040155
Fax 8558825211

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Simi Valley, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs Matches City Avg
City Avg: 11.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
26 Specialists

Practicing in Simi Valley, CA (7235 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (11 Years) 11 Yrs
Simi Valley Specialty Average (11.0 Years) 11.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-31
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License CA RD86027382

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Secondary Practice Locations

4160 Klump Ave

Studio City, CA 916023314

Phone: 3108013418

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 06, 2024

Registered at 1672 SYCAMORE DR APT 302, SIMI VALLEY, CA 930653733 (Tel: 8054040155)

📍
Updated Business Mailing Address August 06, 2024

Registered at 1672 SYCAMORE DR APT 302, SIMI VALLEY, CA 930653733 (Tel: 8054040155)

📍
Updated Practice Location August 14, 2019

Registered at 2592 VICTORIA ST, SIMI VALLEY, CA 93065 (Tel: 8054040155)

📍
Updated Business Mailing Address August 14, 2019

Registered at 2592 VICTORIA ST, SIMI VALLEY, CA 930653736 (Tel: 8054040155)

👤
Provider Name / Credentials Updated August 14, 2019

Recorded as AMANDA BLAKE, MS, RD

NPI Profile Active March 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2017

Registered at 11301 WILSHIRE BLVD, LOS ANGELES, CA 900731003 (Tel: 3104783711)

📍
Updated Business Mailing Address March 01, 2017

Registered at 11301 WILSHIRE BLVD, LOS ANGELES, CA 900731003 (Tel: 3104783711)

👤
Provider Name / Credentials Updated March 01, 2017

Recorded as AMANDA BLAKE,, MS, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2017

Dietitian, Registered (License #RD86027382 in CA)

🟢
Initial NPI Registration & Enumeration February 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225577208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2017
Last Update: August 31, 2024
Sole Proprietor: No

Mailing Address

1672 Sycamore Dr Apt 302

Simi Valley, CA 930653733

Phone: 8054040155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.