Caridad Aguila-Vivar, RDN
Individual provider Active NPI Registered Dietitian · Newhall, CA
NPI 1548870140 · NPPES record last updated Mar 29, 2024
Key facts
- NPI
- 1548870140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 925432 (CA)
- Practice address
- 21105 Oakriver LN
Newhall, CA 91321-4686 - Phone
- (323) 603-6950
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200921002759 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 6800214909 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 925432 | CA | MD | Registered Dietitian |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asesu Laser Med Spa | Current |
Accepting new patients | |
| Care 1 Home Health Providers, Inc | Past |
Accepting new patients |
Locations
4940 Van Nuys Blvd
Ste 306
Sherman Oaks, CA 91403
Phone (626) 720-2026
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 925432 | CA | |
| Registered Dietitian | 133V00000X | 925432 | CA | Yes |
Addresses
Primary practice location
21105 Oakriver LN
Newhall, CA 91321-4686
Mailing address
21105 Oakriver LN
Newhall, CA 91321-4686
Phone (323) 603-6950
Other providers in Newhall, CA
- Access in Home Care Referral Agency, LLC
- Laurie Kathleen Adachi
- Adel El-Bialy MD Inc
- Bizuayehu Agonafir
- Nancy Agosto
- Israel Reyna Aguilar
- Vanessa Aguilar
- Ahcs Allen, LLC
- Ahcs Allen, LLC
- Ahs Santa Clarita Operating, LLC
All providers in Newhall, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.