Irene Michelle Kristal, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

862117 Issued in CA

Practice address

21465 Running Branch Rd
Diamond Bar, CA 91765-3751

Phone

(805) 300-0300

NPI assigned

Nov 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zaghi Medical Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1346942133

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1033363791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21465 RUNNING BRANCH RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653751",
            "telephone_number": "805-300-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21465 RUNNING BRANCH RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653751",
            "telephone_number": "805-300-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTAL",
        "first_name": "IRENE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "862117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sneha Kommu
• Jane Kong, M.D.
• Lesley Kongaika, PA-C
• Song Hoe Koo
• Emily Du Krasowsky, MD
• George Ku, ACU
• Jae Eun Kug, PHARMD
• Siddhartha Kumar, MD
• Toyin Kuyoro
• Jaymee Kwan, FNP

• Registered Dietitian in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.