Active NPI
Kristina C Didio, REGISTERED DIETITIAN
- Registered Dietitian
- Huntington Park, CA
National Provider Identifier
1689210411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86118906
- Practice address
- 1900 E Slauson Ave
Huntington Park, CA 90255-2725 - Phone
- (323) 277-7678
- NPI assigned
- Nov 27, 2019
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86118906 | NY | Primary |
Addresses
Primary practice location
1900 E Slauson Ave
Huntington Park, CA 90255-2725
Mailing address
3651 Jasmine Ave Apt 210
Los Angeles, CA 90034-5398
Phone (315) 350-7524
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 |
|---|---|---|---|
| 86118906 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1689210411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 JASMINE AVE APT 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900345398",
"telephone_number": "315-350-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E SLAUSON AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552725",
"telephone_number": "323-277-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIDIO",
"first_name": "KRISTINA",
"middle_name": "C",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86118906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.