Individual provider Active NPI

Karim Moukaddam, MS, RDN

  • Registered Dietitian
  • Sacramento, CA
National Provider Identifier
1003781022
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1108381 Issued in CA
Practice address
3102 O St Ste 5
Sacramento, CA 95816-6544
Phone
(719) 310-3689
NPI assigned
Oct 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1108381 CA Primary

Addresses

Primary practice location

3102 O St Ste 5
Sacramento, CA 95816-6544

Mailing address

6637 Valley Hi Dr Apt 374
Sacramento, CA 95823-7033
Phone (719) 310-3689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3102 O St
Suite 5
Sacramento, CA 95816-6544
Phone (719) 310-3689

6637 Valley Hi Dr
Apt 374
Sacramento, CA 95823-7004

6637 Valley Hi Dr Apt
Suite 374
Sacramento, CA 95823-7033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1108381CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Karim Moukaddam Dietitian, Registered CurrentSince Oct 21, 2025 Accepting new patients

Locations

3102 O St
Ste 5
Sacramento, CA 95816
Phone (719) 310-3689

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1003781022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6637 VALLEY HI DR APT 374",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958237033",
            "telephone_number": "719-310-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 O ST STE 5",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166544",
            "telephone_number": "719-310-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUKADDAM",
        "first_name": "KARIM",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1108381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.