DIANA K SHORE (NPI# 1194758664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194758664 |
| Entity Type | Individual |
| Full Name | DIANA K SHORE |
| Other Name | DIANA K RINARD |
| Practice Address |
18546 Roscoe Blvd Suite 230 Northridge CA 91324-4663 |
| Practice Telephone | 8188861100 |
| Practice Fax Number | 8188867501 |
| Mailing Telephone | 8188861100 |
| Mailing Fax Number | 8188867501 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
557560 | CA | Dietary & Nutritional Service Providers |
| X | 133V00000X | Dietitian, Registered | 557560 | CA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 557560 | 01 |
| Street Address |
18546 ROSCOE BLVD SUITE 230 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-4663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730177932 | Lawrence Osman | Dermatology | 18546 Roscoe Blvd, Ste 306, Northridge, CA 91324-4663 | 2005-10-11 |
| 1922514223 | Seeta Stacie Nanoo | Nurse Practitioner | 18546 Roscoe Blvd, Northridge, CA 91324-4663 | 2017-12-21 |
| 1598164659 | Alain Karaguezian Md PC | Family Medicine | 18546 Roscoe Blvd, Suite 304, Northridge, CA 91324-4663 | 2014-08-14 |
| 1477890291 | Innovative Dialysis Center of Northridge, LLC | Clinic/Center | 18546 Roscoe Blvd, Suite 108, Northridge, CA 91324-4663 | 2013-01-14 |
| 1285946046 | Minas Kochumian, Md, A Medical Corporation | Non-Pharmacy Dispensing Site | 18546 Roscoe Blvd, 312, Northridge, CA 91324-4663 | 2010-07-09 |
| 1700035193 | Stefanie A Proia | Nurse Practitioner | 18546 Roscoe Blvd, Suite 211, Northridge, CA 91324-4663 | 2008-09-10 |
| 1659537835 | California Kidney Medical Group Inc | Surgery | 18546 Roscoe Blvd, Suite 120, Northridge, CA 91324-4663 | 2008-08-06 |
| 1528226602 | Sherry Ann L. Sanvictores | Nurse Practitioner | 18546 Roscoe Blvd, Suite 306, Northridge, CA 91324-4663 | 2008-05-27 |
| 1811023708 | Jirair Konialian Medical Corporation | Clinic/Center | 18546 Roscoe Blvd, Suite 220, Northridge, CA 91324-5455 | 2007-02-26 |
| 1295884088 | Ehab S Yacoub | Psychiatry & Neurology | 18546 Roscoe Blvd, Suite 210, Northridge, CA 91324-4663 | 2007-01-09 |
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| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404155 | Victoria Zhukova Shemer | Nutritionist | 39 Calypso, Irvine, CA 92618-1519 | 2020-10-10 |
| 1306444658 | Califia Suntree | Nutritionist | 3812 Jo Ann Dr, Sacramento, CA 95821-3819 | 2020-10-09 |
| 1538772520 | Alicia Manley | Nutritionist | 198 Berk Pl, Richmond, CA 94804-4219 | 2020-08-28 |
| 1780295089 | Autumn Beam | Nutritionist | 1437 N Los Robles Ave, Pasadena, CA 91104-2140 | 2020-08-11 |
| 1689292815 | Jodi Ann Sutherland | Nutritionist | 54910, Pine Crest Avenue, Idyllwild, CA 92549-9254 | 2020-07-14 |
| 1407471410 | Joyce Peters | Nutritionist | 9465 Wilshire Blvd Ste 300, Beverly Hills, CA 90212-2624 | 2020-06-15 |
| 1114542883 | Kim Evans | Nutritionist | 101 Gregory Ln Ste 25, Pleasant Hill, CA 94523-4915 | 2020-06-09 |
| 1013539717 | Susan Astrid Blanc | Nutritionist | 2303 Camino Ramon # 208, San Ramon, CA 94583-1392 | 2020-05-15 |
| 1245869445 | Janel Anderson | Nutritionist | 10865 Whitehorse Rd # 5, Truckee, CA 96161-1428 | 2020-04-08 |
| 1154958130 | Lonnele Ball | Nutritionist | 69 Northampton Ave, Berkeley, CA 94707-1714 | 2020-03-26 |
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| City | NORTHRIDGE |
| Zip Code | 91324 |
Please comment or provide details below to improve the information on DIANA K SHORE.
| 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.