Active NPI
Michiko Ishihara, R.D.
- Registered Dietitian
- Harbor City, CA
National Provider Identifier
1780884460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 959874
- Practice address
- 25825 South Vermont Ave
Harbor City, CA 90710 - Phone
- (310) 517-2282
- NPI assigned
- Jul 20, 2007
- Last updated
- Jul 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 959874 | CA | Primary |
Addresses
Primary practice location
25825 South Vermont Ave
Harbor City, CA 90710
Mailing address
233 38TH Place
Manhattan Beach, CA 90266
Phone (310) 500-9973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 959874 | Other | CA | CRD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 959874 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1780884460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 38TH PLACE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "90266",
"telephone_number": "310-500-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25825 SOUTH VERMONT AVE",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "90710",
"telephone_number": "310-517-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHIHARA",
"first_name": "MICHIKO",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "959874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRD",
"identifier": "959874",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harbor City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.