ELIZABETH MAE CUSTER RD
NPI 1477239028
Dietitian, Registered - Nutrition, Pediatric in Pasadena, CA

Active since June 27, 2023
100 W CALIFORNIA BLVD, PASADENA, CA 91105(626) 397-5000 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth Mae Custer Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH MAE CUSTER RD (NPI 1477239028) is an individual nutrition, pediatric provider in Pasadena, California, licensed in California (86080944) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1477239028
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameELIZABETH MAE CUSTERCredential: RD
Location Address100 W CALIFORNIA BLVDPasadena, CA 91105-3010
Mailing Address100 W California BlvdPasadena, CA 91105-3010 · (626) 397-5000
Sole ProprietorNo
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
NPI 1477239028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License Licensed in CA · 86080944
Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

100 W CALIFORNIA BLVD, Pasadena, CA 91105

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Pediatrics (Neonatal-Perinatal Medicine)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Pediatrics (Neonatal-Perinatal Medicine)
100 W CALIFORNIA BLVD, DEPARTMENT OF NEONATOLOGY
PASADENA, CA 91105
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Physician Assistant (Medical)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477239028, enumerated as an "individual" on June 27, 2023.

The provider is located at 100 W CALIFORNIA BLVD PASADENA, CA 91105 and the phone number is (626) 397-5000.

Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.