Individual provider Active NPI

Mariana Magdi Mekari

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1164319174
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1068749 Issued in CA
Practice address
2435 S Sepulveda Blvd Apt 2820
Los Angeles, CA 90064-1869
Phone
(310) 469-2854
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 1068749 CA Primary

Addresses

Primary practice location

2435 S Sepulveda Blvd Apt 2820
Los Angeles, CA 90064-1869

Mailing address

2435 S Sepulveda Blvd Apt 2820
Los Angeles, CA 90064-1869
Phone (310) 469-2854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807000499 CA Practitioner - Registered Dietitian Or Nutrition Professional 5193223428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Loma Linda University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Primary CareGroup PAC ID 3072973007, 5 clinicians

Practice addresses (Care Compare)

5003 Pacific Coast Hwy
Torrance, CA 90505-5441
Phone (877) 782-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1068749CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Primary Care CurrentSince Jun 1, 2025 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

46E Peninsula Ctr
Rolling Hills Estates, CA 90274
Phone (303) 437-2975

5003 Pacific Coast Hwy
Torrance, CA 90505
Phone (877) 782-0300

Organizations & group practices 2

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1164319174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 S SEPULVEDA BLVD APT 2820",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641869",
            "telephone_number": "310-469-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 S SEPULVEDA BLVD APT 2820",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641869",
            "telephone_number": "310-469-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKARI",
        "first_name": "MARIANA",
        "middle_name": "MAGDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1068749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.