Individual provider Active NPI

Suzanne Malamud, M.S, R.D

  • Registered Dietitian
  • Encino, CA
National Provider Identifier
1124457577
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
994288 Issued in CA
Practice address
5460 White Oak Ave Unit F303
Encino, CA 91316-2413
Phone
(818) 282-4771
Fax
(818) 530-7791
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 994288 CA Primary

Addresses

Primary practice location

5460 White Oak Ave Unit F303
Encino, CA 91316-2413

Mailing address

5460 White Oak Ave Unit F303
Encino, CA 91316-2413
Phone (818) 282-4771

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

State licenses

LicenseStateTypeSpecialty
994288CAMDRegistered Dietitian

Interoperability endpoints

  • Direct secure messaging: suzanne.malamudrd.p1@direct.ccchcenter.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1124457577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 WHITE OAK AVE UNIT F303",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162413",
            "telephone_number": "818-282-4771",
            "fax_number": "818-530-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 WHITE OAK AVE UNIT F303",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162413",
            "telephone_number": "818-282-4771",
            "fax_number": "818-530-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAMUD",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "M.S, R.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "994288",
            "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 21, 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.

Verify at the official NPI Registry.