Active NPI
Chelsey Kitazawa, MS, RD
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1851939359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86091437
- Practice address
- 325 N Larchmont Blvd Ste 220
Los Angeles, CA 90004 - Phone
- (323) 986-6179
- NPI assigned
- Dec 15, 2019
- 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 | 86091437 | CA | Primary |
Addresses
Primary practice location
325 N Larchmont Blvd Ste 220
Los Angeles, CA 90004
Mailing address
325 N Larchmont Blvd Ste 220
Los Angeles, CA 90004-3011
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86091437 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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": "1576368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1851939359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N LARCHMONT BLVD STE 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N LARCHMONT BLVD STE 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90004",
"telephone_number": "323-986-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITAZAWA",
"first_name": "CHELSEY",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-15",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86091437",
"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 Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.