Active NPI
Sandy S Kholghy, RD, RDN
- Registered Dietitian
- Stanton, CA
National Provider Identifier
1205150265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86278354
- Practice address
- 12616 Lansdale Cir
Stanton, CA 90680-4125 - Phone
- (714) 837-0362
- NPI assigned
- Mar 19, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Registered Dietitian | 133V00000X | 86278354 | CA | Primary |
Addresses
Primary practice location
12616 Lansdale Cir
Stanton, CA 90680-4125
Mailing address
12616 Lansdale Cir
Stanton, CA 90680-4125
Phone (714) 837-0362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86278354 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Meals Dietetics | Current | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Obesity and Weight Management Nutrition Registered Dietitian
- Stanton, CA
- NPI 1225851553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1205150265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12616 LANSDALE CIR",
"city": "STANTON",
"state": "CA",
"postal_code": "906804125",
"telephone_number": "714-837-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12616 LANSDALE CIR",
"city": "STANTON",
"state": "CA",
"postal_code": "906804125",
"telephone_number": "714-837-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOLGHY",
"first_name": "SANDY",
"middle_name": "S",
"credential": "RD, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86278354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.