Individual provider Active NPI

Elizabeth Ann Parks, R.D.

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1083836308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
R421467 Issued in CA
Practice address
765 W. College St.
Food & Nutrition Services Dept.
Los Angeles, CA 90012-5923
Phone
(213) 580-7298
Fax
(213) 580-7386
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X R421467 CA Primary

Addresses

Primary practice location

765 W. College St.
Food & Nutrition Services Dept.
Los Angeles, CA 90012-5923

Mailing address

765 W. College St.
Food & Nutrition Services Dept.
Los Angeles, CA 90012-5923
Phone (213) 580-7298

Other identifiers 1

IdentifierTypeStateIssuer
R421467OtherCAREGISTERED DIETITIAN

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

LicenseStateTypeSpecialty
R421467CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083836308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 W. COLLEGE ST.",
            "address_2": "FOOD & NUTRITION SERVICES DEPT.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900125923",
            "telephone_number": "213-580-7298",
            "fax_number": "213-580-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 W. COLLEGE ST.",
            "address_2": "FOOD & NUTRITION SERVICES DEPT.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900125923",
            "telephone_number": "213-580-7298",
            "fax_number": "213-580-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "R421467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "R421467",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; 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.