Keyla Camille Sifre, REGISTERED DIETITIAN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

86076177 Issued in VA

Practice address

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone

(323) 361-8532

NPI assigned

May 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1104675867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 BOISSEVAIN AVE APT 2",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235072144",
            "telephone_number": "703-472-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-361-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFRE",
        "first_name": "KEYLA",
        "middle_name": "CAMILLE",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1401X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
            "state": "VA",
            "license": "86076177",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "VA",
            "license": "86076177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Scott Siers, LCSW
• Matthew Christopher Sies, M.D.
• Theodore Martens Sievers, PHARM.D.
• Diana Ann Siew
• Hector Sifontes
• Romina Sifuentes Palomino, M.D.
• Margarita Sifuentes
• Felix Sigal, DPM
• Ana Luz Sigala Quezada, MFTI
• Aaliyah A Sigala

• Pediatric Nutrition Registered Dietitian in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.