Individual provider Active NPI

Mohammed Shameel Safiq, RD CSCS

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1710783774
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
829 S Le Doux Rd Apt 4
Los Angeles, CA 90035-1852
Phone
(510) 754-7597
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

829 S Le Doux Rd Apt 4
Los Angeles, CA 90035-1852

Mailing address

829 S Le Doux Rd Apt 4
Los Angeles, CA 90035-1852
Phone (510) 754-7597

Other names 1

  • Shameel Safiq Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1710783774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 S LE DOUX RD APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351852",
            "telephone_number": "510-754-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 S LE DOUX RD APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351852",
            "telephone_number": "510-754-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFIQ",
        "first_name": "MOHAMMED",
        "middle_name": "SHAMEEL",
        "credential": "RD CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMEEL",
            "last_name": "SAFIQ",
            "credential": "RD CSCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.