Active NPI
Sydney Flippo, RD
- Registered Dietitian
- Encino, CA
National Provider Identifier
1497113039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86007424
- Practice address
- 17613 Calvert St
Encino, CA 91316-1217 - Phone
- (909) 333-7434
- NPI assigned
- Feb 9, 2016
- 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 | 86007424 | CA | Primary |
Addresses
Primary practice location
17613 Calvert St
Encino, CA 91316-1217
Mailing address
17613 Calvert St
Encino, CA 91316-1217
Phone (804) 314-0731
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 |
|---|---|---|---|
| 86007424 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Arc Counseling and Wellness | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Claremont, CA
- NPI 1861139073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1497113039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17613 CALVERT ST",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161217",
"telephone_number": "804-314-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17613 CALVERT ST",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161217",
"telephone_number": "909-333-7434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLIPPO",
"first_name": "SYDNEY",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-09",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86007424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.