Active NPI
Avicenna Dietetics LLC
- Registered Dietitian
- Foothill Ranch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- AVICENNA DIETETICS LLC
- Practice address
- 26730 Towne Centre Dr
Foothill Ranch, CA 92610-2842 - Phone
- (800) 954-8000
- NPI assigned
- May 2, 2019
- Last updated
- Jun 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Saghar Sefidbakht
- Title
- Registered Dietitian
- Phone
- (949) 259-0787
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
26730 Towne Centre Dr
Foothill Ranch, CA 92610-2842
Mailing address
26730 Towne Centre Dr
Foothill Ranch, CA 92610-2842
Phone (949) 259-0787
National Provider Directory
National Provider DirectoryLocations
26730 Towne Centre Dr
Ste 102
Foothill Rnch, CA 92610
Phone (949) 380-1234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Foothill Ranch, CA
- NPI 1467017772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561680000000",
"number": "1245895556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26730 TOWNE CENTRE DR",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926102842",
"telephone_number": "949-259-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26730 TOWNE CENTRE DR",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926102842",
"telephone_number": "800-954-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVICENNA DIETETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-02",
"last_updated": "2019-06-28",
"status": "A",
"authorized_official_last_name": "SEFIDBAKHT",
"authorized_official_first_name": "SAGHAR",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "949-259-0787",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foothill Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.