Active NPI
Buchra Khouri
- Registered Dietitian
- Chula Vista, CA
National Provider Identifier
1720868243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86343390
- Practice address
- 24 Woodlawn Ave Apt 19
Chula Vista, CA 91910-1259 - Phone
- (701) 729-2922
- NPI assigned
- Oct 2, 2023
- 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 | 86343390 | Primary |
Addresses
Primary practice location
24 Woodlawn Ave Apt 19
Chula Vista, CA 91910-1259
Mailing address
24 Woodlawn Ave Apt 19
Chula Vista, CA 91910-1259
Phone (701) 729-2922
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1720868243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WOODLAWN AVE APT 19",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919101259",
"telephone_number": "701-729-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 WOODLAWN AVE APT 19",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919101259",
"telephone_number": "701-729-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURI",
"first_name": "BUCHRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86343390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.