Individual provider Active NPI

Aline Shafrazian, R.D.

  • Registered Dietitian
  • Glendale, CA
National Provider Identifier
1902077068
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1007661 Issued in CA
Practice address
435 Arden Ave Ste 450
Glendale, CA 91203-4024
Phone
(818) 687-0711
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1007661 CA Primary

Addresses

Primary practice location

435 Arden Ave Ste 450
Glendale, CA 91203-4024

Mailing address

435 Arden Ave Ste 450
Glendale, CA 91203-4024
Phone (818) 687-0711

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1007661CAMDRegistered Dietitian

Interoperability endpoints

  • Direct secure messaging: aline.shafrazianrd.p1@direct.jwch.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1902077068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 450",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034024",
            "telephone_number": "818-687-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 450",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034024",
            "telephone_number": "818-687-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFRAZIAN",
        "first_name": "ALINE",
        "name_prefix": "Miss",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1007661",
            "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 Jul 12, 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.