Docrd L.L.C.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DOCRD L.L.C.

Practice address

1850 Ivar Ave
Los Angeles, CA 90028-5008

Phone

(213) 700-2661

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael Todd Greene, ED.D., M.S., R.D.N.

Title

Owner Ceo

Phone

(213) 700-2661

Specialties & licenses 6

Addresses

Other identifiers 2

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609632000000",
    "number": "1285119230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900781138",
            "telephone_number": "213-700-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 IVAR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285008",
            "telephone_number": "213-700-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCRD L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "213-700-2661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., M.S., R.D.N."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "01008567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "1008567",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.