1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Dietitian Registered
  6. NPI Profile

MISS CHRISTINA MARIE FASULO MS RD
NPI 1770147829
Dietitian, Registered in Los Angeles, CA

Active since April 24, 2019
100 UCLA MEDICAL PLAZA SUITE 345, LOS ANGELES, CA 90095(310) 208-5400 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2023, Apr 24, 2019 (2 updates tracked since 2019).

About Miss Christina Marie Fasulo Ms Rd NPPES

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

MISS CHRISTINA MARIE FASULO MS RD (NPI 1770147829) is an individual dietitian, registered in Los Angeles, California, licensed in California (86048802) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1770147829
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMISS CHRISTINA MARIE FASULOCredential: MS RD
Location Address100 UCLA MEDICAL PLAZA SUITE 345Los Angeles, CA 90095-1804
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Phone(310) 208-5400
Sole ProprietorYes
Enumeration DateApril 24, 2019
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1770147829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86048802
Definition
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.
100 UCLA MEDICAL PLAZA SUITE 345, Los Angeles, CA 90095
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Christina Marie Fasulo Ms Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Christina Fasulo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Regents Of The University Of California
Same address
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
NPI 1235107566 (310) 794-1276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN KIM MD
Internal Medicine (Gastroenterology)
100 UCLA MEDICAL PLAZA SUITE 345
LOS ANGELES, CA 90095
Los Angeles County (310) 208-5400
JOO MI MOK NP-C
Nurse Practitioner (Family)
100 UCLA MEDICAL PLAZA SUITE 345
LOS ANGELES, CA 90095
Los Angeles County (310) 208-5400
MRS. IRENE AUSTRIA-RAMOS NP-PEDIATRIC
Nurse Practitioner (Pediatrics)
100 UCLA MEDICAL PLAZA SUITE 345
LOS ANGELES, CA 90095
Los Angeles County (310) 208-5400
BERKELEY NGUYEN LIMKETKAI M.D.
Internal Medicine (Gastroenterology)
100 UCLA MEDICAL PLAZA SUITE 345
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6279

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christina Fasulo's NPI number?

The NPI number for Christina Fasulo is 1770147829. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Christina Fasulo located?

Christina Fasulo practices at 100 Ucla Medical Plaza Suite 345, Los Angeles, CA 90095. The listed phone number is (310) 208-5400.

What is Christina Fasulo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Christina Fasulo enrolled in Medicare?

Yes. Christina Fasulo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Christina Fasulo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christina Fasulo reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christina Fasulo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christina Fasulo was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.