Individual provider Active NPI

Nazik Coromoto Utuchian, RD, MPH

  • Registered Dietitian
  • Glendale, CA
National Provider Identifier
1801951975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
810411 Issued in CA
Practice address
540 N Central Ave
Suite # 303
Glendale, CA 91203-1916
Phone
(818) 500-9996
Fax
(818) 500-9700
NPI assigned
Dec 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 810411 CA Primary

Addresses

Primary practice location

540 N Central Ave
Suite # 303
Glendale, CA 91203-1916

Mailing address

2426 Canada Blvd
# 2
Glendale, CA 91208-1968
Phone (818) 468-9403

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801951975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 CANADA BLVD",
            "address_2": "# 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081968",
            "telephone_number": "818-468-9403",
            "fax_number": "818-500-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N CENTRAL AVE",
            "address_2": "SUITE # 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031916",
            "telephone_number": "818-500-9996",
            "fax_number": "818-500-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTUCHIAN",
        "first_name": "NAZIK",
        "middle_name": "COROMOTO",
        "name_prefix": "Ms.",
        "credential": "RD,  MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "810411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.