Leyla K Davijani

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

932113 Issued in CA

Practice address

26572 Royale Dr
San Juan Capistrano, CA 92675-1412

Phone

(949) 606-3573

NPI assigned

Sep 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Leyla K Davijani Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nutrition Care Plus

  • Home Delivered Meals
  • San Juan Capistrano, CA
  • NPI 1265803076
  NPD (past) Authorized official

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1255700084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26572 ROYALE DR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751412",
            "telephone_number": "949-606-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26572 ROYALE DR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751412",
            "telephone_number": "949-606-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIJANI",
        "first_name": "LEYLA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "932113",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "932113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEYLA",
            "last_name": "DAVIJANI",
            "middle_name": "K",
            "credential": "MHA, RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel L Fortmann MD PC
• Sugganth Daniel, MD
• Dao Optometric Group (San Juan Optometry)
• Nina H Dao
• Steve Dao, OD
• Janis Laursen Davis, OTR/L PHD
• Leigh-Anne Davis
• Melissa Marie De la O
• Vivian De Santis
• Define Wellness and Physical Therapy Inc

• Registered Dietitian in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.