Individual provider Active NPI

Nilophar Lily Zandieh, PHD, RD

  • Registered Dietitian
  • Laguna Niguel, CA
National Provider Identifier
1639906803
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86099403 Issued in CA
Practice address
31448 W Nine Dr
Laguna Niguel, CA 92677-2951
Phone
(949) 244-7504
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86099403 CA Primary

Addresses

Primary practice location

31448 W Nine Dr
Laguna Niguel, CA 92677-2951

Mailing address

31448 W Nine Dr
Laguna Niguel, CA 92677-2951
Phone (949) 244-7504

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
86099403CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1639906803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31448 W NINE DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772951",
            "telephone_number": "949-244-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31448 W NINE DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772951",
            "telephone_number": "949-244-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDIEH",
        "first_name": "NILOPHAR",
        "middle_name": "LILY",
        "credential": "PHD, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86099403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.