Erin Nicole Ghaffari, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

893617 Issued in IL

Practice address

2438 N Ponderosa Dr
Unit C-101
Camarillo, CA 93010-2369

Phone

(805) 383-9727

Fax

(805) 764-0176

NPI assigned

Dec 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Erin Nicole Andrews Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1982849436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940838",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930940838",
            "telephone_number": "805-433-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 N PONDEROSA DR",
            "address_2": "UNIT C-101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102369",
            "telephone_number": "805-383-9727",
            "fax_number": "805-764-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFARI",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IL",
            "license": "893617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "ANDREWS",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Karl Gerbovaz, D.D.S.
• Megan Gerde
• Sheila Anita Geronimo
• Rebecca Gervasi
• Vincent B Gest, CP, BOCO
• Mallory Rachelle Giacopuzzi
• Catherine Giacopuzzirotz
• Cynthia Ann Giangreco, R.P.T.
• Mary Elise Gianos, MD
• Sherri Gilbert, MFT

• Renal Nutrition Registered Dietitian in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Renal Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.