Maitano, a Limited Liability Corporation

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MAITANO, A LIMITED LIABILITY CORPORATION

Practice address

12125 Day St Ste H308
Moreno Valley, CA 92557-6705

Phone

(951) 801-4000

NPI assigned

Feb 1, 2022

Organization subpart

Yes

Parent organization

MAITANOAs reported in NPPES

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

Authorized official

Name

Cordialis Msora-Kasago, MA, RDN, DIPACLM

Title

Chief Consultant

Phone

(951) 801-4000

Specialties & licenses 1

Addresses

Other names 1

• Inland Nutrition Other name

Part of

Maitano a Limited Liability

Locations

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1083367924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30086 DEW HURST ST",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847646",
            "telephone_number": "951-801-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 DAY ST STE H308",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576705",
            "telephone_number": "951-801-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITANO, A LIMITED LIABILITY CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAITANO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "MSORA-KASAGO",
        "authorized_official_first_name": "CORDIALIS",
        "authorized_official_title_or_position": "CHIEF CONSULTANT",
        "authorized_official_telephone_number": "951-801-4000",
        "authorized_official_credential": "MA, RDN, DIPACLM"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonya Maher, MD
• Lisa M Mahoney, MD
• Tri Xuan Mai, M.D.
• Mainstream Lifestyles, Inc.
• Michelle Drusilla Maisel
• Majdi Oubeid DDS Inc
• Rowena Kai Ling Mak-Huang, M.D.
• Michel A Makhlouf, M.D.
• Stephanie Maldonado
• Robert Malek

• Registered Dietitian in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.