Organization Active NPI

Kristie Tovar Nutrition & Wellness Inc

  • Registered Dietitian
  • Glendale, CA
National Provider Identifier
1255949616
Registry record updated Dec 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KRISTIE TOVAR NUTRITION & WELLNESS INC
Practice address
715 N Central Ave
Glendale, CA 91203-4262
Phone
(818) 731-5352
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2024

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

Authorized official

Name
Kristie Moore Tovar, MS, RDNNPI 1801248612
Title
Owner, Registered Dietitian
Phone
(818) 731-5352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

715 N Central Ave
Glendale, CA 91203-4262

Mailing address

27284 Via Marcia
Santa Clarita, CA 91350-1539
Phone (818) 731-5352

Other practice location 1

23822 Valencia Blvd Ste 207
Valencia, CA 91355-5348
Phone (818) 731-5352

National Provider Directory

National Provider Directory

Locations

25201 Avenue Tibbitts
Ste 101
Valencia, CA 91355
Phone (818) 282-2090

28005 Smyth Dr
Valencia, CA 91355
Phone (661) 477-8935

23822 Valencia Blvd
Ste 207
Valencia, CA 91355
Phone (661) 437-3287

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735084800000",
    "number": "1255949616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27284 VIA MARCIA",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913501539",
            "telephone_number": "818-731-5352",
            "fax_number": "818-925-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034262",
            "telephone_number": "818-731-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23822 Valencia Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555348",
            "country_code": "US",
            "telephone_number": "818-731-5352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTIE TOVAR NUTRITION & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-14",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "818-731-5352",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.