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

Miss. Christina Marie Fasulo, MSRD

Individual provider Registered Dietitian · NPI 1770147829

Miss. Christina Marie Fasulo, MSRD is a Registered Dietitian OR Nutrition Professional in Los Angeles, California. Qualified in 2016, 10 years ago. Practices with The Regents of the University of California, a 1,414-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 UCLA Medical Plz Ste 345
Los Angeles, CA 90095-1804
Phone: (310) 208-5400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86048802 (CA)

Record details

NPI number1770147829
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD
Sole proprietorYes
NPI enumeratedApril 24, 2019
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Los Angeles