OLUTOSIN KIRYA (NPI# 1023507282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023507282 |
| Entity Type | Individual |
| Full Name | OLUTOSIN KIRYA |
| Credential | DTR, CLT |
| Practice Address |
31654 Rancho Viejo Rd Ste G San Juan Capistrano CA 92675-2774 |
| Mailing Address |
Po Box 2867 Mission Viejo CA 92690-0867 |
| Practice Telephone | 9498998361 |
| Mailing Telephone | 9496146354 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 86143459 | CA | Dietary & Nutritional Service Providers |
| Street Address |
31654 RANCHO VIEJO RD STE G |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-2774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626223 | Sapna Jaya Peruvemba | Dietetic Technician, Registered | 12251 Toluca Dr, San Ramon, CA 94583-2651 | 2020-07-14 |
| 1740810886 | Natalie Plinneke | Dietetic Technician, Registered | 10 Ragsdale Dr Ste 200, Monterey, CA 93940-7813 | 2020-01-16 |
| 1376181131 | Ashley Chung | Dietetic Technician, Registered | 22904 Colombard Ln Unit 3, Diamond Bar, CA 91765-2586 | 2019-12-11 |
| 1831663863 | Corinne Kantor | Dietetic Technician, Registered | 55 Paseo Primero, Rancho Santa Margarita, CA 92688-3361 | 2019-01-12 |
| 1740729995 | Brenda Morales | Dietetic Technician, Registered | 15105 Sherman Way Apt 317, Van Nuys, CA 91405-2013 | 2017-02-21 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1295280907 | Shannon Loman | Dietetic Technician, Registered | 685 San Ramon Dr, Santa Barbara, CA 93111-2623 | 2016-08-23 |
| 1467505560 | Gloria Salanap Felipe | Dietetic Technician, Registered | 801 Los Molinos Way, Sacramento, CA 95864-5251 | 2007-01-19 |
| 1326065160 | Diabetes Society | Dietetic Technician, Registered | 1165 Lincoln Ave, #300, San Jose, CA 95125-3038 | 2006-07-17 |
| 1306443395 | Sabrina Jean Stinnett | Dietetic Technician, Registered | 354 Santa Fe Dr, Encinitas, CA 92024-5182 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.