Organization Active NPI

Rabeha Anjum Kaiser

  • Nutritionist
  • San Jose, CA
National Provider Identifier
1972323806
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
RABEHA ANJUM KAISER
Doing business as
Diet Stylist
Practice address
2150 Pastoral Loop
San Jose, CA 95122
Phone
(408) 800-3020
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Rabeha KaiserNPI 1942064225
Title
Owner
Phone
(408) 800-3020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

2150 Pastoral Loop
San Jose, CA 95122

Mailing address

3277 S White Rd # 765
San Jose, CA 95148-4056
Phone (408) 800-3020

Other names 1

  • Diet Stylist Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251020002658 TX Part B Supplier - Clinic/Group Practice 6507391406 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1972323806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 S WHITE RD # 765",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484056",
            "telephone_number": "408-800-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PASTORAL LOOP",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95122",
            "telephone_number": "408-800-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABEHA ANJUM KAISER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "RABEHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-800-3020"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diet Stylist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diet Stylist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.