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

Active since April 24, 2019Accepts Medicare Assignment
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: August 16, 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. She is a graduate of Other (2016).

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
Medical School CMSOtherGraduated 2016
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Christina Marie Fasulo Ms Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648630665
PECOS Enrollment IDI20230721001026

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 2 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.