NPIMap

Organization Active NPI

Irina Sherbak Rd

  • Registered Dietitian
  • San Diego, CA
National Provider Identifier
1285256578
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
IRINA SHERBAK RD
Practice address
6018 Ridgemoor Dr
San Diego, CA 92120-3922
Phone
(619) 252-8527
Fax
(855) 956-1975
NPI assigned
May 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Mrs. Irina Sherbak, RDNPI 1023573292
Title
Ceo
Phone
(619) 252-8527

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 SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

6018 Ridgemoor Dr
San Diego, CA 92120-3922

Mailing address

6018 Ridgemoor Dr
San Diego, CA 92120-3922
Phone (619) 252-8527

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1285256578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 RIDGEMOOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203922",
            "telephone_number": "619-252-8527",
            "fax_number": "855-956-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 RIDGEMOOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203922",
            "telephone_number": "619-252-8527",
            "fax_number": "855-956-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA SHERBAK RD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "SHERBAK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-252-8527",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.