Organization Active NPI

SCM Nutrition and Diet Inc

  • Registered Dietitian
  • Glendale, CA
National Provider Identifier
1861017303
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SCM NUTRITION AND DIET INC
Practice address
2437 Bywood Drive
Glendale, CA 91206
Phone
(818) 522-9851
NPI assigned
Jun 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Shirley Christina Mizarian
Title
Ceo/Owner
Phone
(818) 522-9851

Specialties & licenses 1

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

Addresses

Primary practice location

2437 Bywood Drive
Glendale, CA 91206

Mailing address

2155 Verdugo Blvd Ste 406
Montrose, CA 91020-1628
Phone (818) 522-9851

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": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1861017303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 VERDUGO BLVD STE 406",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201628",
            "telephone_number": "818-522-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 BYWOOD DRIVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91206",
            "telephone_number": "818-522-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCM NUTRITION AND DIET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "MIZARIAN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-522-9851"
    },
    "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 Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.