Active NPI
Aditi J Shah, RD
- Registered Dietitian
- La Mirada, CA
National Provider Identifier
1356545123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0978884
- Practice address
- 16326 Glen Alder CT
La Mirada, CA 90638-6512 - Phone
- (714) 350-0339
- NPI assigned
- Jun 13, 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 | 0978884 | CA | Primary |
Addresses
Primary practice location
16326 Glen Alder CT
La Mirada, CA 90638-6512
Mailing address
PO Box 788
Hemet, CA 92546-0788
Phone (951) 929-6260
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0978884 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jayapal a Reddy MD and Radha T Reddy MD Inc | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333
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 and National Provider Directory roles.
-
- Specialist
- Rancho Cucamonga, CA
- NPI 1881937068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1356545123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"city": "HEMET",
"state": "CA",
"postal_code": "925460788",
"telephone_number": "951-929-6260",
"fax_number": "951-765-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16326 GLEN ALDER CT",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906386512",
"telephone_number": "714-350-0339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ADITI",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "0978884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.