Active NPI
Samantha Zucker, RD
- Registered Dietitian
- Irvine, CA
National Provider Identifier
1710491238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 862774
- Practice address
- 19303 Payton
Irvine, CA 92620-3484 - Phone
- (856) 952-8779
- NPI assigned
- Nov 20, 2017
- 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 | 862774 | Primary |
Addresses
Primary practice location
19303 Payton
Irvine, CA 92620-3484
Mailing address
19303 Payton
Irvine, CA 92620-3484
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": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1710491238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19303 PAYTON",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19303 PAYTON",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203484",
"telephone_number": "856-952-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKER",
"first_name": "SAMANTHA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "862774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.