Active NPI
Diwata Macalino, MS, RDN
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1396201984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 4650 W Sunset Blvd # 8
Los Angeles, CA 90027-6062 - Phone
- (323) 361-5613
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- No
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
4650 W Sunset Blvd # 8
Los Angeles, CA 90027-6062
Mailing address
8850 Chimineas Ave
Northridge, CA 91325-3019
Phone (408) 761-6046
Other practice location 1
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1396201984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8850 CHIMINEAS AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913253019",
"telephone_number": "408-761-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # 8",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-5613"
}
],
"practiceLocations": [
{
"address_1": "14850 Roscoe Blvd",
"address_purpose": "LOCATION",
"city": "Panorama City",
"state": "CA",
"postal_code": "914024618",
"country_code": "US",
"telephone_number": "818-787-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACALINO",
"first_name": "DIWATA",
"name_prefix": "Ms.",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.