Active NPI
Angelica Lee Agami, MS, BA, RD
- Registered Dietitian
- Irvine, CA
National Provider Identifier
1407324064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1064149
- Practice address
- 16305 Sand Canyon Ave Ste 210
Irvine, CA 92618-3783 - Phone
- (949) 752-2227
- NPI assigned
- Nov 12, 2018
- 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 | 1064149 | CA | Primary |
Addresses
Primary practice location
16305 Sand Canyon Ave Ste 210
Irvine, CA 92618-3783
Mailing address
750 Erskine Dr Unit a
San Clemente, CA 92672-2548
Phone (917) 680-9033
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
- Bachelor of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1064149 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1407324064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 ERSKINE DR UNIT A",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926722548",
"telephone_number": "917-680-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16305 SAND CANYON AVE STE 210",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183783",
"telephone_number": "949-752-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGAMI",
"first_name": "ANGELICA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MS, BA, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1064149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.