Active NPI
Morgan Matija Michalak, MS, RDN
- Registered Dietitian
- Rancho Mission Viejo, CA
National Provider Identifier
1427738525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86298562
- Practice address
- 1201 Lasso Way Unit 301
Rancho Mission Viejo, CA 92694-1629 - Phone
- (909) 203-3195
- NPI assigned
- Jul 24, 2023
- Last updated
- Jul 24, 2023
- 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 | 86298562 | CA | Primary |
Addresses
Primary practice location
1201 Lasso Way Unit 301
Rancho Mission Viejo, CA 92694-1629
Mailing address
1201 Lasso Way Unit 301
Rancho Mission Viejo, CA 92694-1629
Phone (909) 203-3195
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86298562 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1427738525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 LASSO WAY UNIT 301",
"city": "RANCHO MISSION VIEJO",
"state": "CA",
"postal_code": "926941629",
"telephone_number": "909-203-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 LASSO WAY UNIT 301",
"city": "RANCHO MISSION VIEJO",
"state": "CA",
"postal_code": "926941629",
"telephone_number": "909-203-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALAK",
"first_name": "MORGAN",
"middle_name": "MATIJA",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86298562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.