Active NPI
Ryan Namdarkhan, ND
- Naturopath
- West Hollywood, CA
National Provider Identifier
1003385444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND1038
- Practice address
- 1106 N la Cienega Blvd Ste 207
West Hollywood, CA 90069-2493 - Phone
- (323) 524-5859
- NPI assigned
- Nov 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND1038 | CA | Primary |
Addresses
Primary practice location
1106 N la Cienega Blvd Ste 207
West Hollywood, CA 90069-2493
Mailing address
1106 N la Cienega Blvd Ste 207
West Hollywood, CA 90069-2493
Phone (323) 524-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND1038 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalize Naturopathic Medicine PC | Current | Accepting new patients |
Locations
1106 N La Cienega Blvd
Ste 207
West Hollywood, CA 90069
Phone (310) 289-4939
1042 N Fairfax Ave
West Hollywood, CA 90046
Phone (323) 359-1032
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.
-
- Clinic/Center
- West Hollywood, CA
- NPI 1043823578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1003385444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 N LA CIENEGA BLVD STE 207",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900692493",
"telephone_number": "323-524-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N LA CIENEGA BLVD STE 207",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900692493",
"telephone_number": "323-524-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMDARKHAN",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-15",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND1038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.