Active NPI
Christina E Kang, NUTRITIONIST, JD, MS
- Nutritionist
- Menlo Park, CA
National Provider Identifier
1437667540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 3639 Haven Ave Unit A424
Menlo Park, CA 94025 - Phone
- (734) 657-0101
- NPI assigned
- Jan 11, 2018
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
3639 Haven Ave Unit A424
Menlo Park, CA 94025
Mailing address
3639 Haven Ave Unit A424
Menlo Park, CA 94025-1147
Phone (734) 657-0101
Other practice location 1
195 W 10th St
New York, NY 10014-6400
Phone (734) 657-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X | Other | X |
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
- Juris Doctor, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1437667540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3639 HAVEN AVE UNIT A424",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940251147",
"telephone_number": "734-657-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3639 HAVEN AVE UNIT A424",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "734-657-0101"
}
],
"practiceLocations": [
{
"address_1": "195 W 10th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100146400",
"country_code": "US",
"telephone_number": "734-657-0101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "CHRISTINA",
"middle_name": "E",
"credential": "NUTRITIONIST, JD, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "X",
"identifier": "X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.