Powerplay MD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

A53116 Issued in CA

Legal business name

POWERPLAY MD

Practice address

5800 Wilshire Boulevard
Los Angeles, CA 90036

Phone

(310) 289-8242

Fax

(310) 289-8248

NPI assigned

Oct 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Lydie Hazan, MD

Title

Ceo/President

Phone

(310) 289-8242

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parul A Desai, RN, NP-C

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134577281
  NPD (past)

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1205162013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WILSHIRE BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "310-289-8242",
            "fax_number": "310-289-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 WILSHIRE BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "310-289-8242",
            "fax_number": "310-289-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERPLAY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "HAZAN",
        "authorized_official_first_name": "LYDIE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-289-8242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "CA",
            "license": "A53116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Power Pulse Electrology LLC
• Anton Power, D.O.
• Mia Power
• Mike Power, D.C.
• William Power, M.D.
• Aron Laurel Powers, LCSW
• Christopher M Powers, PT, PHD
• Daniel Powers, MD
• Glenn I Powers, M.D.
• Jamie Wiebers Powers, M.D.

• Pediatric Nutrition Registered Dietitian in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.