Individual provider Active NPI

Delilah Babirye Bisase, RD

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1225698459
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86063619 Issued in CA
Practice address
1333 Barry Ave Apt 4
Los Angeles, CA 90025-3949
Phone
(310) 893-3946
NPI assigned
Jun 19, 2019
Reactivated
Dec 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86063619 CA Primary

Addresses

Primary practice location

1333 Barry Ave Apt 4
Los Angeles, CA 90025-3949

Mailing address

1333 Barry Ave Apt 4
Los Angeles, CA 90025-3949
Phone (310) 893-3946

Other identifiers 1

IdentifierTypeStateIssuer
86063619OtherCACOMMISSION ON DIETETIC REGISTRATION (CDR)

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

State licenses

LicenseStateTypeSpecialty
86063619CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1225698459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BARRY AVE APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253949",
            "telephone_number": "310-893-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BARRY AVE APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253949",
            "telephone_number": "310-893-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISASE",
        "first_name": "DELILAH",
        "middle_name": "BABIRYE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "deactivation_date": "2022-06-10",
        "reactivation_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86063619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION (CDR)",
            "identifier": "86063619",
            "state": "CA"
        }
    ],
    "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 Dec 8, 2022; 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.