Active NPI
Stacie Nachi Tsukada
- Renal Nutrition Registered Dietitian
- Long Beach, CA
National Provider Identifier
1710136288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- Practice address
- 5901 E 7TH St
C/O Nutrition & Food Services
Long Beach, CA 90822-5201 - Phone
- (562) 826-8000
- Fax
- (562) 826-5947
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | Primary |
Addresses
Primary practice location
5901 E 7TH St
C/O Nutrition & Food Services
Long Beach, CA 90822-5201
Mailing address
5901 E 7TH St
C/O Nutrition & Food Services
Long Beach, CA 90822-5201
Phone (562) 826-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00928665 | Other | COMMISSION ON DIETETIC REGISTRATION |
Other names 1
- Miss Stacie Nachi Hosokawa
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": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1710136288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 E 7TH ST",
"address_2": "C/O NUTRITION & FOOD SERVICES",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908225201",
"telephone_number": "562-826-8000",
"fax_number": "562-826-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 E 7TH ST",
"address_2": "C/O NUTRITION & FOOD SERVICES",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908225201",
"telephone_number": "562-826-8000",
"fax_number": "562-826-5947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUKADA",
"first_name": "STACIE",
"middle_name": "NACHI",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "00928665",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACIE",
"last_name": "HOSOKAWA",
"middle_name": "NACHI",
"prefix": "MISS",
"credential": "RD, CNSD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.