Tiany Siao Tian So, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86083673 Issued in CA

Practice address

2703 N Ontario St Ste 120&130
Burbank, CA 91504-2508

Phone

(657) 217-1279

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1255859385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N ONTARIO ST STE 120&130",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042508",
            "telephone_number": "657-217-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N ONTARIO ST STE 120&130",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042508",
            "telephone_number": "657-217-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "TIANY",
        "middle_name": "SIAO TIAN",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86083673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Smock
• Smooth Aesthetics Inc, a Medical Corp
• SNJ Hospice Care LLC
• Thomas Gene Snyder, PTA
• Dora H. So, M.D.
• Socal Best Care Inc.
• Socal Breathe Free ASC LLC
• Socal Health Services, Inc.
• Socal Top Care Inc.
• Socal Victory Care Inc.

• Registered Dietitian in Burbank, CA
• Providers in Burbank, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.