Active NPI
Lizbeth Diaz
- Registered Dietitian
- North Hollywood, CA
National Provider Identifier
1972064905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86117499
- Practice address
- 5315 Harmony Ave Apt 101
North Hollywood, CA 91601-3381 - Phone
- (818) 675-3596
- NPI assigned
- Mar 31, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 86117499 | CA | |
| Nutrition Education Nutritionist | 133NN1002X | 86117499 | CA | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 86117499 | CO | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 86117499 | CA | |
| Registered Dietitian | 133V00000X | 86117499 | CA | Primary |
Addresses
Primary practice location
5315 Harmony Ave Apt 101
North Hollywood, CA 91601-3381
Mailing address
5315 Harmony Ave Apt 101
North Hollywood, CA 91601-3381
Phone (818) 675-3596
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 |
|---|---|---|---|
| 86117499 | CO | MD | Renal Nutrition Registered Dietitian |
| 86117499 | CA | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553990400000",
"number": "1972064905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 HARMONY AVE APT 101",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013381",
"telephone_number": "818-675-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 HARMONY AVE APT 101",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013381",
"telephone_number": "818-675-3596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "LIZBETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-31",
"last_updated": "2019-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": "86117499",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "86117499",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "CO",
"license": "86117499",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "86117499",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86117499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.