Active NPI
Sepideh Nassiripour
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1952284614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01020730
- Practice address
- 1245 Holmby Ave
Los Angeles, CA 90024-5143 - Phone
- (310) 562-6646
- NPI assigned
- Jul 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 01020730 | CA | |
| Registered Dietitian | 133V00000X | 01020730 | CA | Primary |
Addresses
Primary practice location
1245 Holmby Ave
Los Angeles, CA 90024-5143
Mailing address
1245 Holmby Ave
Los Angeles, CA 90024-5143
Phone (310) 562-6646
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01020730 | CA | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1952284614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 HOLMBY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245143",
"telephone_number": "310-562-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 HOLMBY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245143",
"telephone_number": "310-562-6646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSIRIPOUR",
"first_name": "SEPIDEH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CA",
"license": "01020730",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "01020730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.