Active NPI
Negin Rostamkolaei, RDN
- Registered Dietitian
- Laguna Hills, CA
National Provider Identifier
1750581013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1084647
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LAC5896 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle Acupuncture Wellness Center | Acupuncturist | Current | 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.
-
- Acupuncturist
- Laguna Hills, CA
- NPI 1275062663
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.