Active NPI
SCM Nutrition and Diet Inc
- Registered Dietitian
- Glendale, CA
National Provider Identifier
1861017303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Montrose, CA
- NPI 1700048659
Dietitian, Registered
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.