Healthcare Provider Details

I. General information

NPI: 1033055488
Provider Name (Legal Business Name): CARISSA BARROWMAN MS, RDN, CNSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 ARLINGTON AVE APT 2
TORRANCE CA
90501-0382
US

IV. Provider business mailing address

1026 ARLINGTON AVE APT 2
TORRANCE CA
90501-0382
US

V. Phone/Fax

Practice location:
  • Phone: 760-987-5175
  • Fax:
Mailing address:
  • Phone: 760-987-5175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86009810
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: