Kind Kidney LLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Legal business name

KIND KIDNEY LLC

Practice address

281 E Colorado Blvd # 2501
Pasadena, CA 91101-1903

Phone

(818) 207-4225

Fax

(626) 628-3050

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Victoria Lynn Perreira-Pico, RDN

Title

Co-Owner

Phone

(818) 207-4225

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Lynn Lydeen, MS, RDN, CSR

  • Registered Dietitian
  • Montclair, CA
  • NPI 1386189892
  NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1740860659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E COLORADO BLVD # 2501",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011903",
            "telephone_number": "818-207-4225",
            "fax_number": "626-628-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 E COLORADO BLVD # 2501",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011903",
            "telephone_number": "818-207-4225",
            "fax_number": "626-628-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND KIDNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-05",
        "status": "A",
        "authorized_official_last_name": "PERREIRA-PICO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "818-207-4225",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86-1923096",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kindkidneyllc.com",
            "affiliation": "N",
            "endpointDescription": "kindkidneyllc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "438 N Hill Ave",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911061221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly J. Bozart, Physical Therapy, a Professional Corporation
• Alexis May Kimble, D.O.
• Bobby Nathaniel Kimble II
• David M Kimble, MD
• Kaylee Kimura, AUD
• Gina King-Lee
• Bryann King-Levy
• Andrew T. King, MEDICAL DOCTOR
• Brandon King
• Carol Denise King, L.AC.

• Renal Nutrition Registered Dietitian in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Renal Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.