Active NPI
Sidney Kleinmeyer, RDN
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1225812985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86120002
- Practice address
- 11301 Wilshire Blvd
Los Angeles, CA 90073-1003 - Phone
- (949) 632-2709
- NPI assigned
- Aug 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86120002 | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Mailing address
18 Hillside Dr
Rancho Santa Margarita, CA 92688-5554
Other practice location 1
18 Hillside Dr
Rancho Santa Margarita, CA 92688-5554
Phone (949) 632-2709
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1225812985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 HILLSIDE DR",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926885554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "949-632-2709"
}
],
"practiceLocations": [
{
"address_1": "18 Hillside Dr",
"address_purpose": "LOCATION",
"city": "Rancho Santa Margarita",
"state": "CA",
"postal_code": "926885554",
"country_code": "US",
"telephone_number": "949-632-2709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEINMEYER",
"first_name": "SIDNEY",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86120002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Jay Michael Kleinman, DO
- Jeffrey Ira Kleinman, O.D.
- Leonard Eugene Kleinman, MD
- Ronald Paul Kleinman, OD
- Steven Mitchell Kleinman, DMD
- Kleinmind Psychiatry & Wellness, a Nursing Professional Corporation
- Kimberly Kay Kleinschmidt, R.N.
- Kimberly Kleinsorge, R.N.
- Crystal Klements
- Vera Klesic, TECHNICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.