Organization Active NPI

Nutrition Link

  • Registered Dietitian
  • Panorama City, CA
National Provider Identifier
1497239768
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION LINK
Practice address
8731 Colbath Ave
Panorama City, CA 91402-3304
Phone
(323) 459-7994
Fax
(888) 465-7307
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Cynthia Moleno, RD
Title
President
Phone
(323) 459-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

8731 Colbath Ave
Panorama City, CA 91402-3304

Mailing address

8731 Colbath Ave
Panorama City, CA 91402-3304
Phone (323) 459-7994

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherCA924712

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1497239768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8731 COLBATH AVE",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023304",
            "telephone_number": "323-459-7994",
            "fax_number": "888-465-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8731 COLBATH AVE",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023304",
            "telephone_number": "323-459-7994",
            "fax_number": "888-465-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION LINK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "MOLENO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-459-7994",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "924712",
            "identifier": "LICENSE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.

Verify at the official NPI Registry.