Individual provider Active NPI

Alida A Narguizian, R.D.

  • Registered Dietitian
  • Mission Hills, CA
National Provider Identifier
1942375332
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
817276 Issued in IL
Practice address
11165 Sepulveda Blvd
Mission Hills, CA 91345-1113
Phone
(818) 365-9531
NPI assigned
Nov 21, 2006
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 817276 IL Primary

Addresses

Primary practice location

11165 Sepulveda Blvd
Mission Hills, CA 91345-1113

Mailing address

PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559

Other practice location 1

2212 E 4th St
Santa Ana, CA 92705-3870
Phone (714) 618-9540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728001239 CA Practitioner - Registered Dietitian Or Nutrition Professional 3476581646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
817276ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Serra Community Medical Clinic Inc CurrentSince Mar 21, 2015 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince Mar 21, 2015 Accepting new patients
Providence Medical Foundation CurrentSince Feb 1, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Feb 1, 2024 Accepting new patients
Providence Facey Medical Foundation CurrentSince Jan 16, 2017 Accepting new patients
Providence Facey Medical Foundation CurrentSince Jan 16, 2017 Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

File 50670
Los Angeles, CA 90074

11165 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 365-9531

11333 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 365-9531

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

2212 E 4th St
Santa Ana, CA 92705
Phone (714) 288-3230

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1942375332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9602",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913469602",
            "telephone_number": "818-837-5559",
            "fax_number": "818-792-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11165 SEPULVEDA BLVD",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451113",
            "telephone_number": "818-365-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053870",
            "country_code": "US",
            "telephone_number": "714-618-9540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARGUIZIAN",
        "first_name": "ALIDA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "817276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.