Active NPI
Zhanglin Kong, MS RDN CDCES
- Registered Dietitian
- Dublin, CA
National Provider Identifier
1952871212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3622
- Practice address
- 3956 Jordan Ranch Dr
Dublin, CA 94568-2565 - Phone
- (857) 366-6175
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3622 | MA | Primary |
Addresses
Primary practice location
3956 Jordan Ranch Dr
Dublin, CA 94568-2565
Mailing address
3956 Jordan Ranch Dr
Dublin, CA 94568-2565
Phone (857) 366-6175
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3622 | Other | MA | DIETITIAN/NUTRITIONIST |
| DX6035 | Other | MD | DIETETIC PRACTICE LICENSE |
| 1098983 | Other | REGISTERED DIETITIAN NUTRITIONIST |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3622 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1952871212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3956 JORDAN RANCH DR",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682565",
"telephone_number": "857-366-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3956 JORDAN RANCH DR",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682565",
"telephone_number": "857-366-6175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "ZHANGLIN",
"credential": "MS RDN CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN/NUTRITIONIST",
"identifier": "3622",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETETIC PRACTICE LICENSE",
"identifier": "DX6035",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN NUTRITIONIST",
"identifier": "1098983",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.