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KAIVON TIMOTHY ATKINSON RD
NPI 1235987363
Dietitian, Registered - Nutrition, Renal in San Diego, CA

Active since May 13, 2024
720 GATEWAY CENTER DR STE B, SAN DIEGO, CA 92102(619) 264-4100 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaivon Timothy Atkinson Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAIVON TIMOTHY ATKINSON RD (NPI 1235987363) is an individual nutrition, renal provider in San Diego, California, licensed in Oklahoma (86117143) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1235987363
Entity TypeIndividualMale
Primary Taxonomy133VN1005X
Provider Legal NameKAIVON TIMOTHY ATKINSONCredential: RD
Location Address720 GATEWAY CENTER DR STE BSan Diego, CA 92102-4549
Mailing Address720 Gateway Center Dr Ste BSan Diego, CA 92102-4549 · (619) 264-4100
Phone(619) 264-4100
Sole ProprietorNo
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1235987363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
License✔ Licensed in OK · 86117143
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
720 GATEWAY CENTER DR STE B, San Diego, CA 92102
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN DIEGO DIALYSIS SERVICES, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
720 GATEWAY CENTER DR STE B
SAN DIEGO, CA 92102
San Diego County (619) 264-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaivon Atkinson's NPI number?

The NPI number for Kaivon Atkinson is 1235987363. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Kaivon Atkinson located?

Kaivon Atkinson practices at 720 Gateway Center Dr Ste B, San Diego, CA 92102. The listed phone number is (619) 264-4100.

What is Kaivon Atkinson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

When was this NPI record last updated?

The NPPES record for Kaivon Atkinson was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.