Active NPI
Lily Valentine Reisinger, RD
- Registered Dietitian
- Torrance, CA
National Provider Identifier
1003538323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86290554
- Practice address
- 21515 Hawthorne Blvd Ste 370
Torrance, CA 90503-6556 - Phone
- (424) 341-5407
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86290554 | CA | Primary |
Addresses
Primary practice location
21515 Hawthorne Blvd Ste 370
Torrance, CA 90503-6556
Mailing address
1139 Harvard St Apt D
Santa Monica, CA 90403-4788
Phone (314) 578-8668
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 |
|---|---|---|---|
| 86290554 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Goodson, LLC | Dietitian, Registered | Past | Accepting new patients |
Networks
- TX HMO D-SNP
- TX HMO
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1003538323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 HARVARD ST APT D",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034788",
"telephone_number": "314-578-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21515 HAWTHORNE BLVD STE 370",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905036556",
"telephone_number": "424-341-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISINGER",
"first_name": "LILY",
"middle_name": "VALENTINE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86290554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.