NPIMap

Organization Active NPI

Personalized Nutrition Counseling, PC

  • Registered Dietitian
  • Irvine, CA
National Provider Identifier
1881320604
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PERSONALIZED NUTRITION COUNSELING, PC
Practice address
1 Vacaville
Irvine, CA 92602
Phone
(949) 689-5039
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Sara Kashlan, MS, RDNPI 1932754801
Title
Founder and Owner
Phone
(949) 689-5039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1 Vacaville
Irvine, CA 92602

Mailing address

1501 Lincoln Blvd # 1090
Venice, CA 90291-3503
Phone (949) 689-5039

Other names 1

  • Sara Kashlan Other name

National Provider Directory

National Provider Directory

Locations

17192 Murphy Ave
Unit 15251
Irvine, CA 92623

Practitioners & affiliated clinicians

Practitioners 3

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1881320604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LINCOLN BLVD # 1090",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913503",
            "telephone_number": "949-689-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VACAVILLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92602",
            "telephone_number": "949-689-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED NUTRITION COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "KASHLAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "FOUNDER AND OWNER",
        "authorized_official_telephone_number": "949-689-5039",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara Kashlan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.