Active NPI
Shahin Rostami, RD
- Registered Dietitian
- Tustin, CA
National Provider Identifier
1831932177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 712105
- Practice address
- 2548 Acuasanta
Tustin, CA 92782 - Phone
- (714) 675-1900
- NPI assigned
- Jun 14, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 712105 | Primary |
Addresses
Primary practice location
2548 Acuasanta
Tustin, CA 92782
Mailing address
2548 Acuasanta
Tustin, CA 92782
Phone (714) 675-1900
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | 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": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1831932177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2548 ACUASANTA",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92782",
"telephone_number": "714-675-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2548 ACUASANTA",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92782",
"telephone_number": "714-675-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSTAMI",
"first_name": "SHAHIN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "712105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.