Active NPI
Farnoush Cohanim Gidanian, M.S., R.D.
- Registered Dietitian
- Laguna Beach, CA
National Provider Identifier
1275676215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2755 Park Ave
Laguna Beach, CA 92651-2040 - Phone
- (949) 533-3557
- Fax
- (949) 497-3986
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2755 Park Ave
Laguna Beach, CA 92651-2040
Mailing address
2755 Park Ave
Laguna Beach, CA 92651-2040
Phone (949) 533-3557
Other names 1
- Ms. Franoush Cohanim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200227001444 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 2365879517 | Practice locations: Laguna Beach, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275676215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 PARK AVE",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512040",
"telephone_number": "949-533-3557",
"fax_number": "949-497-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 PARK AVE",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512040",
"telephone_number": "949-533-3557",
"fax_number": "949-497-3986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDANIAN",
"first_name": "FARNOUSH",
"middle_name": "COHANIM",
"name_prefix": "Mrs.",
"credential": "M.S., R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FRANOUSH",
"last_name": "COHANIM",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.