Organization Active NPI

Pedram Esmaeelzadeh Rd LLC

  • Registered Dietitian
  • Winter Haven, FL
National Provider Identifier
1770435190
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PEDRAM ESMAEELZADEH RD LLC
Practice address
1806 Wallace Manor LN
Winter Haven, FL 33880-1842
Phone
(678) 282-7225
NPI assigned
Feb 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Pedram Esmaeelzadeh, RDN, LDNNPI 1932933009
Title
Dietitian
Phone
(678) 282-7225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1806 Wallace Manor LN
Winter Haven, FL 33880-1842

Mailing address

1806 Wallace Manor LN
Winter Haven, FL 33880-1842

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1770435190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 WALLACE MANOR LN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 WALLACE MANOR LN",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801842",
            "telephone_number": "678-282-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRAM ESMAEELZADEH RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "ESMAEELZADEH",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "678-282-7225",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.