Active NPI
Ana Elena Duran, RDN
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1255945507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86059797
- Practice address
- 808 W 58TH St
Los Angeles, CA 90037-3632 - Phone
- (323) 247-6344
- NPI assigned
- Sep 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 86059797 | CA | Primary |
Addresses
Primary practice location
808 W 58TH St
Los Angeles, CA 90037-3632
Mailing address
3759 E 55TH St
Maywood, CA 90270-2133
Phone (323) 247-6344
Other practice location 1
3759 E 55th St
Maywood, CA 90270-2133
Phone (323) 247-6344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86059797 | Other | REGISTERED DIETITIAN NUTRITIONIST |
Other names 1
- Ana Elena Ahumada Cruz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | MAYWOOD | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162
Phone (818) 301-6307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86059797 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Community Healthcare | Current | Accepting new patients | |
| Valley Community Healthcare | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
6801 Coldwater Canyon Ave
North Hollywood, CA 91605
Phone (818) 301-6307
Organizations & group practices 3
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.
-
- Voluntary or Charitable Agency
- North Hollywood, CA
- NPI 1588740989
-
- Voluntary or Charitable Agency
- North Hills, CA
- NPI 1932501996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1255945507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3759 E 55TH ST",
"city": "MAYWOOD",
"state": "CA",
"postal_code": "902702133",
"telephone_number": "323-247-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 W 58TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373632",
"telephone_number": "323-247-6344"
}
],
"practiceLocations": [
{
"address_1": "3759 E 55th St",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "CA",
"postal_code": "902702133",
"country_code": "US",
"telephone_number": "323-247-6344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURAN",
"first_name": "ANA",
"middle_name": "ELENA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2020-12-08",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86059797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN NUTRITIONIST",
"identifier": "86059797",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MAYWOOD",
"affiliation": "N",
"endpointDescription": "home",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3759 E 55th St",
"city": "Maywood",
"state": "CA",
"country_code": "US",
"postal_code": "902702133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANA",
"last_name": "AHUMADA CRUZ",
"middle_name": "ELENA",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.