Active NPI
Patricia Lee Novak, RD
- Pediatric Nutrition Registered Dietitian
- Encino, CA
National Provider Identifier
1528291432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- Practice address
- 16055 Ventura Blvd
Suite 420
Encino, CA 91436-2601 - Phone
- (818) 304-1876
- NPI assigned
- Aug 25, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | Primary |
Addresses
Primary practice location
16055 Ventura Blvd
Suite 420
Encino, CA 91436-2601
Mailing address
16055 Ventura Blvd
Suite 420
Encino, CA 91436-2601
Phone (818) 304-1876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165998 | Other | CA | CMS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1528291432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD",
"address_2": "SUITE 420",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362601",
"telephone_number": "818-304-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD",
"address_2": "SUITE 420",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362601",
"telephone_number": "818-304-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "PATRICIA",
"middle_name": "LEE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS",
"identifier": "165998",
"state": "CA"
}
],
"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 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.