Active NPI
Diane Woods, M.S., R.D., C.D.E.
- Registered Dietitian
- Agoura Hills, CA
National Provider Identifier
1073797254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- R406876
- Practice address
- 28720 Canwood Street
Suite 204
Agoura Hills, CA 91301 - Phone
- (818) 339-5542
- NPI assigned
- Dec 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | R406876 | Primary |
Addresses
Primary practice location
28720 Canwood Street
Suite 204
Agoura Hills, CA 91301
Mailing address
31839 Sea Level Drive
Malibu, CA 90265
Phone (818) 339-5542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BL74 | Other | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1073797254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31839 SEA LEVEL DRIVE",
"city": "MALIBU",
"state": "CA",
"postal_code": "90265",
"telephone_number": "818-339-5542",
"fax_number": "310-457-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28720 CANWOOD STREET",
"address_2": "SUITE 204",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "91301",
"telephone_number": "818-339-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "M.S., R.D., C.D.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "R406876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "BL74",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.