Active NPI
Nazanin Blitshteyn, RDN
- Registered Dietitian
- Encino, CA
National Provider Identifier
1104599075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1068891
- Practice address
- 5224 Zelzah Ave Unit 102
Encino, CA 91316-2164 - Phone
- (818) 687-1725
- NPI assigned
- Jul 27, 2021
- 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 | 1068891 | CA | Primary |
Addresses
Primary practice location
5224 Zelzah Ave Unit 102
Encino, CA 91316-2164
Mailing address
5224 Zelzah Ave Unit 102
Encino, CA 91316-2164
Phone (818) 687-1725
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 |
|---|---|---|---|
| 1068891 | CA | 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": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1104599075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5224 ZELZAH AVE UNIT 102",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162164",
"telephone_number": "818-687-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5224 ZELZAH AVE UNIT 102",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162164",
"telephone_number": "818-687-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLITSHTEYN",
"first_name": "NAZANIN",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1068891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.