Concierge Nutrition Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CONCIERGE NUTRITION INC

Practice address

17208 Luverne PL
Encino, CA 91316-3932

Phone

(310) 880-9633

Fax

(818) 975-2178

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Bahar Mona Solasi, RDNNPI 1780130633

Title

Owner

Phone

(310) 880-9633

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bahar Mona Solasi, RD

  • Registered Dietitian
  • Encino, CA
  • NPI 1780130633

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1871315754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17208 LUVERNE PL",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163932",
            "telephone_number": "310-880-9633",
            "fax_number": "818-975-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17208 LUVERNE PL",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163932",
            "telephone_number": "310-880-9633",
            "fax_number": "818-975-2178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16133 Ventura Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362406",
            "country_code": "US",
            "telephone_number": "310-880-9633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCIERGE NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "SOLASI",
        "authorized_official_first_name": "BAHAR",
        "authorized_official_middle_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-880-9633",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Encino, CA
• Providers in Encino, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.