NPI
Amanda Blake
NPI 1225577208
Read from the NPPES registry on October 26, 2026.
Facts
- Status
- Active
- Credential
- MS, RD
- Type
- Individual
- Enumeration date
- 2017-02-23
- Last updated
- 2024-08-31
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Specialties
Licenses
- License CA
- RD86027382
Location
- Practice location
- 1672 Sycamore Dr Apt 302
- City
- Simi Valley CA
- Postal code
- 93065-3733
- Phone
- (805) 404-0155
- Fax
- (855) 882-5211
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Registered Dietitians in Simi Valley, CA. 30 with this primary taxonomy in the public file.
Other NPIs in Simi Valley, CA. 2,222 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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