Individual provider Active NPI

Nikki Sahebghalam, RDN, CNS

  • Registered Dietitian
  • San Francisco, CA
National Provider Identifier
1982336103
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86299794 Issued in CA
Practice address
201 Spear St Ste 1100
San Francisco, CA 94105-6164
Phone
(415) 651-4333
Fax
(844) 572-0001
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86299794 CA Primary
Nutritionist 133N00000X 18350 CA

Addresses

Primary practice location

201 Spear St Ste 1100
San Francisco, CA 94105-6164

Mailing address

1420 S Bundy Dr Apt 403
Los Angeles, CA 90025-6187
Phone (818) 661-8292

Other practice location 1

1420 S Bundy Dr Apt 403
Los Angeles, CA 90025-6187
Phone (818) 661-8292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220001223 CA Practitioner - Registered Dietitian Or Nutrition Professional 9830564962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes Digital CorpGroup PAC ID 1557722055, 7 clinicians

Practice addresses (Care Compare)

428 J St
FL 4
Sacramento, CA 95814-2331
Phone (844) 572-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
86299794CAMDRegistered Dietitian
18350CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Digital Corp Dietitian, Registered CurrentSince Nov 6, 2023 Accepting new patients

Locations

428 J St
Fl 4
Sacramento, CA 95814
Phone (844) 572-1444

2001 Van Ness Ave
Ste 300
San Francisco, CA 94109
Phone (888) 393-8520

201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1982336103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S BUNDY DR APT 403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256187",
            "telephone_number": "818-661-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SPEAR ST STE 1100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941056164",
            "telephone_number": "415-651-4333",
            "fax_number": "844-572-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 S Bundy Dr Apt 403",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900256187",
            "country_code": "US",
            "telephone_number": "818-661-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHEBGHALAM",
        "first_name": "NIKKI",
        "credential": "RDN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86299794",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "18350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.