Individual provider Active NPI

Andrea M Perkov, RD

  • Registered Dietitian
  • Torrance, CA
National Provider Identifier
1316124068
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
837464 Issued in CA
Practice address
23133 Hawthorne Blvd
Suite 104
Torrance, CA 90505-3729
Phone
(310) 378-3456
Fax
(310) 373-3190
NPI assigned
Jan 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 837464 CA Primary
Renal Nutrition Registered Dietitian 133VN1005X 837464 CA
Metabolic Nutrition Registered Dietitian 133VN1006X 837464 CA

Addresses

Primary practice location

23133 Hawthorne Blvd
Suite 104
Torrance, CA 90505-3729

Mailing address

23133 Hawthorne Blvd
Suite 104
Torrance, CA 90505-3729
Phone (310) 378-3456

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
837464CAMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1316124068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 HAWTHORNE BLVD",
            "address_2": "SUITE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053729",
            "telephone_number": "310-378-3456",
            "fax_number": "310-373-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 HAWTHORNE BLVD",
            "address_2": "SUITE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053729",
            "telephone_number": "310-378-3456",
            "fax_number": "310-373-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKOV",
        "first_name": "ANDREA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "837464",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "837464",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CA",
            "license": "837464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.