Cindy Mogannam, MPH, RD, CSP

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

101 Brookwood Ave
Santa Rosa, CA 95404-5258

Phone

(707) 575-6043

NPI assigned

Apr 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cindy Dagher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1699139360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROOKWOOD AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROOKWOOD AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045258",
            "telephone_number": "707-575-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGANNAM",
        "first_name": "CINDY",
        "credential": "MPH, RD, CSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "DAGHER",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi Mize
• Deborah J Mizell, LCSW
• Mobility Masters Northern California Inc.
• Modern Sight Optometric Corporation
• Frank Edward Modic, M.D.
• Jiries Peter Mogannam, D.D.S., M.D.
• Karla Mogollan
• Almira Mogul
• Sophia Moh, OD
• April Mohling

• Registered Dietitian in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.