Organization Active NPI

Nourishing Direction Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1073745238
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G57217 Issued in CA
Legal business name
NOURISHING DIRECTION INC
Practice address
3954 City Terrace Dr
Ste 101
Los Angeles, CA 90063-1241
Phone
(323) 354-0838
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Anita A Walton, M.D.
Title
President/Owner
Phone
(323) 354-0838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G57217 CA Primary

Addresses

Primary practice location

3954 City Terrace Dr
Ste 101
Los Angeles, CA 90063-1241

Mailing address

10573 W Pico Blvd
Ste 289
Los Angeles, CA 90064-2333
Phone (323) 354-0838

National Provider Directory

National Provider Directory

Locations

10573 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 383-0920

3954 City Terrace Dr
Ste 101
Los Angeles, CA 90063
Phone (323) 354-0838

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1073745238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 W PICO BLVD",
            "address_2": "STE 289",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642333",
            "telephone_number": "323-354-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 CITY TERRACE DR",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900631241",
            "telephone_number": "323-354-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING DIRECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "323-354-0838",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G57217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 20, 2009; 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.