ELLEN THOMSON BAUERSFELD RD
NPI 1881763472
Dietitian, Registered in Tarzana, CA

Active since November 07, 2006
18372 CLARK ST, SUITE 226, TARZANA, CA 91356(818) 881-9192(818) 881-0261 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellen Thomson Bauersfeld Rd NPPES

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

ELLEN THOMSON BAUERSFELD RD (NPI 1881763472) is an individual dietitian, registered in Tarzana, California and active in the NPI registry since November 2006. She is a graduate of Other (1987).

NPPES Registry Identity

NPI1881763472
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameELLEN THOMSON BAUERSFELDCredential: RD
Location Address18372 CLARK ST, SUITE 226Tarzana, CA 91356-3508
Mailing Address18372 Clark St, Suite 226Tarzana, CA 91356-3508 · (818) 881-9192 · Fax (818) 881-0261
Fax(818) 881-0261
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881763472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
18372 CLARK ST, Tarzana, CA 91356

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Thomson Bauersfeld Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012063233
PECOS Enrollment IDI20091104000379

Medicare Billing Reassignment

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

Dietitian, Registered
18372 CLARK ST, SUITE 228
Tarzana, CA 91356
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group

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 10

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

Pediatrics (Pediatric Gastroenterology)
18372 CLARK ST, #216
TARZANA, CA 91356
Clinic/Center (Medical Specialty)
18372 CLARK ST, SUITE 212
TARZANA, CA 91356
Internal Medicine (Endocrinology, Diabetes & Metabolism)
18372 CLARK ST, SUITE 212
TARZANA, CA 91356
Specialist
18372 CLARK ST, SUITE 218
TARZANA, CA 91356
Dentist (Oral and Maxillofacial Surgery)
18372 CLARK ST, SUITE 224
TARZANA, CA 91356
Dietitian, Registered
18372 CLARK ST, SUITE 228
TARZANA, CA 91356
Obstetrics & Gynecology
18372 CLARK ST
TARZANA, CA 91356
Internal Medicine (Gastroenterology)
18372 CLARK ST, SUITE 212
TARZANA, CA 91356

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 Ellen Bauersfeld's NPI number?

The NPI number for Ellen Bauersfeld is 1881763472. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Ellen Bauersfeld located?

Ellen Bauersfeld practices at 18372 Clark St Suite 226, Tarzana, CA 91356. The listed phone number is (818) 881-9192.

What is Ellen Bauersfeld's specialty?

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

Is Ellen Bauersfeld enrolled in Medicare?

Yes. Ellen Bauersfeld is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Bauersfeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Bauersfeld reassigns Medicare benefits to Medical Nutrition Network LLC (Tarzana, 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 Ellen Bauersfeld'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 Ellen Bauersfeld was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.