MAGNOLIA VELA – Registered Dietitian, NPI 1083795231
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
615 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in CA
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Provider Addresses for MAGNOLIA VELA
Long Beach Boulevard, Long Beach, Los Angeles County, California, 90802, United States
STE 904
LONG BEACH, CA 908073324
Phone: (562) 810-6739
Fax: (866) 403-6068
Type: Location
990 Highway 287 N
Mansfield, TX 760632607
Phone: (562) 424-4055
Fax: (949) 577-4880
Type: Location
3111 LONG BEACH BLVD # 904
LONG BEACH, CA 908075015
Phone: (562) 424-4055
Fax: (949) 577-4880
Type: Location
6285 E SPRING ST # 284
LONG BEACH, CA 908084020
Phone: (562) 424-4055
Fax: (949) 577-4880
Type: Mailing
3015, Ladoga Avenue, Long Beach, Los Angeles County, California, 90808, United States
LONG BEACH, CA 908084017
Phone: (562) 810-6739
Fax: (866) 403-6068
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060214000486 | I | Registered Dietitian Or Nutrition Professional | CA | TBD |
| I20221104000229 | I | Registered Dietitian Or Nutrition Professional | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97803 | Therapy procedure reassessment for nutrition management, each 15 minutes | 233 | 44 | $0 |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | 129 | 32 | $0 |
Insurance plans in this area (ZIP 90807)
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