Individual provider Active NPI

Samin Moham, RD

  • Registered Dietitian
  • Santa Barbara, CA
National Provider Identifier
1205274107
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1000242 Issued in CA
Practice address
351 South Patterson Ave
Goleta Valley Cottage Hospital--Nutrition Department
Santa Barbara, CA 93160-6306
Phone
(805) 681-6441
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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 1000242 CA Primary

Addresses

Primary practice location

351 South Patterson Ave
Goleta Valley Cottage Hospital--Nutrition Department
Santa Barbara, CA 93160-6306

Mailing address

351 South Patterson Ave, PO Box 6306
Goleta Valley Cottage Hospital--Nutrition Department
Santa Barbara, CA 93160-6306

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1000242CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1205274107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SOUTH PATTERSON AVE, PO BOX 6306",
            "address_2": "GOLETA VALLEY COTTAGE HOSPITAL--NUTRITION DEPARTMENT",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931606306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SOUTH PATTERSON AVE",
            "address_2": "GOLETA VALLEY COTTAGE HOSPITAL--NUTRITION DEPARTMENT",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931606306",
            "telephone_number": "805-681-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAM",
        "first_name": "SAMIN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1000242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.