Healthcare Provider Details

I. General information

NPI: 1164466207
Provider Name (Legal Business Name): CAROL ANN ADAMS R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11250 WARNER AVE
FOUNTAIN VALLEY CA
92708-4116
US

IV. Provider business mailing address

870 AVOCADO ST
BREA CA
92821-4101
US

V. Phone/Fax

Practice location:
  • Phone: 714-513-5506
  • Fax: 714-513-5566
Mailing address:
  • Phone: 714-990-3704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: