Active NPI
Michele Christopher-Ipaktchian, M.S., R.D.
- Registered Dietitian
- Santa Monica, CA
National Provider Identifier
1336529379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1428 26TH St Apt D
Santa Monica, CA 90404-3075 - Phone
- (310) 760-1087
- NPI assigned
- Jun 4, 2015
- Last updated
- Mar 31, 2021
- 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
1428 26TH St Apt D
Santa Monica, CA 90404-3075
Mailing address
1428 26TH St Apt D
Santa Monica, CA 90404-3075
Phone (310) 760-1087
Other practice location 1
18372 Clark St Ste 228
Tarzana
Tarzana, CA 91356-3555
Phone (818) 881-9192
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourished With Kindness | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Westlake Village, CA
- NPI 1790372449
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1336529379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 26TH ST APT D",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043075",
"telephone_number": "310-760-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 26TH ST APT D",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043075",
"telephone_number": "310-760-1087"
}
],
"practiceLocations": [
{
"address_1": "18372 Clark St Ste 228",
"address_2": "Tarzana",
"address_purpose": "LOCATION",
"city": "Tarzana",
"state": "CA",
"postal_code": "913563555",
"country_code": "US",
"telephone_number": "818-881-9192",
"fax_number": "818-881-0261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTOPHER-IPAKTCHIAN",
"first_name": "MICHELE",
"credential": "M.S., R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2021-03-31",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, 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.