Individual provider Active NPI

Joan Cass, BCHN CAND CTNC

  • Nutrition Education Nutritionist
  • Canoga Park, CA
National Provider Identifier
1275119349
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
0003121628-0001-1 Issued in CA
Practice address
22252 Bassett St
Canoga Park, CA 91303-2307
Phone
(818) 590-1159
Fax
(818) 347-9331
NPI assigned
Mar 19, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 0003121628-0001-1 CA Primary

Addresses

Primary practice location

22252 Bassett St
Canoga Park, CA 91303-2307

Mailing address

22252 Bassett St
Canoga Park, CA 91303-2307
Phone (818) 590-1159

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

State licenses

LicenseStateTypeSpecialty
0003121628-0001-1CAMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1275119349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22252 BASSETT ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032307",
            "telephone_number": "818-590-1159",
            "fax_number": "818-347-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22252 BASSETT ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032307",
            "telephone_number": "818-590-1159",
            "fax_number": "818-347-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASS",
        "first_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "BCHN CAND CTNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "0003121628-0001-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.