Active NPI
Mehrnaz Paydar
- Registered Dietitian
- Laguna Hills, CA
National Provider Identifier
1104380229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX4567
- Practice address
- 25411 Cabot Rd Ste 105
Laguna Hills, CA 92653-5517 - Phone
- (949) 403-5555
- Fax
- (949) 403-1165
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 | DX4567 | MD | Primary |
Addresses
Primary practice location
25411 Cabot Rd Ste 105
Laguna Hills, CA 92653-5517
Mailing address
10414 Flowerfield Way
Potomac, MD 20854-6394
Phone (240) 778-9489
Other practice location 1
1140 W La Veta Ave Ste 400
Orange, CA 92868-4226
Phone (949) 403-5555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX4567 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670630400000",
"number": "1104380229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10414 FLOWERFIELD WAY",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208546394",
"telephone_number": "240-778-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25411 CABOT RD STE 105",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535517",
"telephone_number": "949-403-5555",
"fax_number": "949-403-1165"
}
],
"practiceLocations": [
{
"address_1": "1140 W La Veta Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928684226",
"country_code": "US",
"telephone_number": "949-403-5555",
"fax_number": "949-403-1165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYDAR",
"first_name": "MEHRNAZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2022-12-10",
"certification_date": "2022-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX4567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.