Individual provider Active NPI

Cordialis Msora-Kasago, MA, RDN, DIPACLM

  • Registered Dietitian
  • Moreno Valley, CA
National Provider Identifier
1750606729
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
868696
Practice address
12125 Day St Ste H308
Moreno Valley, CA 92557-6705
Phone
(951) 801-4000
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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 868696 Primary

Addresses

Primary practice location

12125 Day St Ste H308
Moreno Valley, CA 92557-6705

Mailing address

30086 Dew Hurst St
Menifee, CA 92584-7646
Phone (951) 801-4000

Other names 1

  • Cordialis Msora Former 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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Healthcare Services LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

12125 Day St
Ste H308
Moreno Valley, CA 92557
Phone (951) 601-9101

Organizations & group practices 2

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1750606729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30086 DEW HURST ST",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847646",
            "telephone_number": "951-801-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 DAY ST STE H308",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576705",
            "telephone_number": "951-801-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MSORA-KASAGO",
        "first_name": "CORDIALIS",
        "credential": "MA, RDN, DIPACLM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "868696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORDIALIS",
            "last_name": "MSORA",
            "credential": "MA, RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.