Individual provider Active NPI

Ryan Michael Glatt, NBC-HWC, CPT

  • Health & Wellness Coach
  • Los Angeles, CA
National Provider Identifier
1043888993
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
1301 20TH Street
150
Los Angeles, CA 90064-9006
Phone
(805) 231-7339
NPI assigned
Jun 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X CA Primary

Addresses

Primary practice location

1301 20TH Street
150
Los Angeles, CA 90064-9006

Mailing address

11311 La Grange Ave Apt 424
Los Angeles, CA 90025-6869
Phone (805) 231-7339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan.glatt2@providence.org Health Information Exchange (HIE) PACIFIC NEUROSCIENCE INSTITUTE MEDICAL GROUP INC

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1043888993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 LA GRANGE AVE APT 424",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256869",
            "telephone_number": "805-231-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH STREET",
            "address_2": "150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900649006",
            "telephone_number": "805-231-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATT",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "NBC-HWC, CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.glatt2@providence.org",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "PACIFIC NEUROSCIENCE INSTITUTE MEDICAL GROUP INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1301 20th Street",
            "address_2": "150",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900649006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.