Individual provider Active NPI

Negin Rostamkolaei, RDN

  • Registered Dietitian
  • Laguna Hills, CA
National Provider Identifier
1750581013
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1084647 Issued in CA
Practice address
25401 Cabot Rd, Ste #210
Laguna Hills, CA 92653
Phone
(949) 633-5844
Fax
(949) 305-9799
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1084647 CA Primary
Acupuncturist 171100000X LAC5896 CA

Addresses

Primary practice location

25401 Cabot Rd, Ste #210
Laguna Hills, CA 92653

Mailing address

25401 Cabot Rd, Ste #210
Laguna Hills, CA 92653
Phone (949) 633-5844

Other names 1

  • Negin Rostamkolaei Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130122000216 CA Practitioner - Registered Dietitian Or Nutrition Professional 4082867254 Practice locations: Aliso Viejo, CA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Mareblu
Aliso Viejo, CA 92656-3044
Phone (949) 633-5844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC5896CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Acupuncture Wellness Center Acupuncturist CurrentSince Jul 1, 2022 Accepting new patients

Locations

11 Mareblu
#220D
Aliso Viejo, CA 92656
Phone (949) 633-5844

11 Mareblu
Ste 220D
Aliso Viejo, CA 92656

25401 Cabot Rd
Ste 210
Laguna Hills, CA 92653
Phone (949) 633-5844

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1750581013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD, STE #210",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-633-5844",
            "fax_number": "949-305-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD, STE #210",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-633-5844",
            "fax_number": "949-305-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTAMKOLAEI",
        "first_name": "NEGIN",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1084647",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "LAC5896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEGIN",
            "last_name": "ROSTAMKOLAEI",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.