Organization Active NPI

Theralistic Nutrition

  • Registered Dietitian
  • Calabasas, CA
National Provider Identifier
1033864020
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
THERALISTIC NUTRITION
Practice address
23945 Calabasas Rd Ste 110
Calabasas, CA 91302-1503
Phone
(818) 497-7484
NPI assigned
Feb 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Ronit Maghen, RDNPI 1386302834
Title
Registered Dietitian
Phone
(818) 497-7484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

23945 Calabasas Rd Ste 110
Calabasas, CA 91302-1503

Mailing address

19641 Valdez Dr
Tarzana, CA 91356-4911
Phone (818) 497-7484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220429000174 CA Part B Supplier - Clinic/Group Practice 8325435902 Receives reassigned benefits from 1 practitioner
Practice locations: Calabasas, CA

National Provider Directory

National Provider Directory

Locations

23945 Calabasas Rd
Ste 110
Calabasas, CA 91302
Phone (818) 497-7484

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1033864020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19641 VALDEZ DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564911",
            "telephone_number": "818-497-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23945 CALABASAS RD STE 110",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021503",
            "telephone_number": "818-497-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERALISTIC NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "MAGHEN",
        "authorized_official_first_name": "RONIT",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "818-497-7484",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.