Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Blake, MS, RD

Individual provider Registered Dietitian · NPI 1225577208

Amanda Blake, MS, RD is a Registered Dietitian OR Nutrition Professional in Simi Valley, California. Qualified in 2015, 11 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1672 Sycamore Dr Apt 302
Simi Valley, CA 93065-3733
Phone: (805) 404-0155
Fax: (855) 882-5211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4160 Klump Ave, Studio City, CA 91602-3314 — (310) 801-3418

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence RD86027382 (CA)

Record details

NPI number1225577208
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD
Sole proprietorNo
NPI enumeratedFebruary 23, 2017
Last updated in NPPESAugust 31, 2024
Certification dateAugust 31, 2024
Mailing address1672 Sycamore Dr Apt 302, Simi Valley, CA 93065-3733

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Simi Valley