Individual provider Active NPI

Diem P Nguyen, RDN

  • Registered Dietitian
  • Simi Valley, CA
National Provider Identifier
1972000685
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86072366 Issued in CA
Practice address
1667 Moonseed LN
Simi Valley, CA 93065-7421
Phone
(818) 274-2969
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86072366 CA Primary

Addresses

Primary practice location

1667 Moonseed LN
Simi Valley, CA 93065-7421

Mailing address

1667 Moonseed LN
Simi Valley, CA 93065-7421
Phone (818) 274-2969

Other practice location 1

1667 Moonseed Ln
Simi Valley, CA 93065-7421
Phone (818) 274-2969

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
86072366CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1972000685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 MOONSEED LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657421",
            "telephone_number": "818-274-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 MOONSEED LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657421",
            "telephone_number": "818-274-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1667 Moonseed Ln",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930657421",
            "country_code": "US",
            "telephone_number": "818-274-2969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIEM",
        "middle_name": "P",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86072366",
            "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 Apr 9, 2018; 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.