Individual provider Active NPI

Lara Toufic Hindawi, RDN

  • Registered Dietitian
  • Simi Valley, CA
National Provider Identifier
1952181141
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86360603
Practice address
2750 Sycamore Dr Ste 201
Simi Valley, CA 93065-1500
Phone
(805) 577-8460
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 86360603 Primary

Addresses

Primary practice location

2750 Sycamore Dr Ste 201
Simi Valley, CA 93065-1500

Mailing address

445 De Anza Way
Oxnard, CA 93033-6248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229004253 CA Practitioner - Registered Dietitian Or Nutrition Professional 8224473160 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jan 9, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 9, 2024 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1952181141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 DE ANZA WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930336248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SYCAMORE DR STE 201",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651500",
            "telephone_number": "805-577-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDAWI",
        "first_name": "LARA",
        "middle_name": "TOUFIC",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86360603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.