Active NPI
Manijeh Nezami, DR PH , RDN
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1457809394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 897887
- Practice address
- 820 S Bedford St
Unit 103
Los Angeles, CA 90035-1895 - Phone
- (310) 962-9308
- NPI assigned
- Sep 20, 2016
- 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 | 897887 | CA | Primary |
Addresses
Primary practice location
820 S Bedford St
Unit 103
Los Angeles, CA 90035-1895
Mailing address
820 S Bedford St
Unit 103
Los Angeles, CA 90035-1895
Phone (310) 962-9308
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 897887 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1457809394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 S BEDFORD ST",
"address_2": "UNIT 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351895",
"telephone_number": "310-962-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S BEDFORD ST",
"address_2": "UNIT 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351895",
"telephone_number": "310-962-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEZAMI",
"first_name": "MANIJEH",
"name_prefix": "Dr.",
"credential": "DR PH , RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "897887",
"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 Sep 20, 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.