Active NPI
Maral Kaprielian, RD
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1770355372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 977297
- Practice address
- 2511 W 3Rd St
Los Angeles, CA 90057-1923 - Phone
- (626) 331-3333
- NPI assigned
- Oct 26, 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 | 977297 | CA | Primary |
Addresses
Primary practice location
2511 W 3Rd St
Los Angeles, CA 90057-1923
Mailing address
1663 E Villa St
Pasadena, CA 91106-1323
Phone (626) 379-3349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104003511 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 4789035601 | Practice locations: Pasadena, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 977297 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1770355372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1663 E VILLA ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061323",
"telephone_number": "626-379-3349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 W 3RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571923",
"telephone_number": "626-331-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPRIELIAN",
"first_name": "MARAL",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-26",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "977297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.