Active NPI
Kimberly Irene Ancira, MS, RDN
- Registered Dietitian
- Livermore, CA
National Provider Identifier
1245837608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1006606
- Practice address
- 366 Acorn PL
Livermore, CA 94550-8681 - Phone
- (925) 784-9317
- NPI assigned
- Oct 7, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 1006606 | CA | Primary |
Addresses
Primary practice location
366 Acorn PL
Livermore, CA 94550-8681
Mailing address
366 Acorn PL
Livermore, CA 94550-8681
Phone (925) 784-9317
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | linkedin.com/in/kimberly-ancira | Zipongo Health Provider Group P.A. |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1006606 | CA | MD | Registered Dietitian |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1245837608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 ACORN PL",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945508681",
"telephone_number": "925-784-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 ACORN PL",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945508681",
"telephone_number": "925-784-9317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCIRA",
"first_name": "KIMBERLY",
"middle_name": "IRENE",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2023-11-27",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1006606",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "linkedin.com/in/kimberly-ancira",
"affiliation": "Y",
"affiliationName": "Zipongo Health Provider Group P.A.",
"address_1": "600 California St Fl 11",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941082727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Livermore, CA
- Sheila Balisih Almiranez
- Michael Robert Alper, M.D.
- Altamont Support Services, LLC (Synergy HomeCare of CA60)
- Anthony David Alvarez, DDS
- Robert John Ammon, D.C.
- Neelofer Andar, PHARM D.
- Angela Anderson
- Anka Behavioral Health, Inc. (Amador Tri-Valley Center)
- Rowena Tandoc Anselmo, RN
- Anthropos Counseling Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.