Organization Active NPI

Chla Usc-Ucedd Nutrition

  • Pediatric Nutrition Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1356478861
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
Legal business name
CHLA USC-UCEDD NUTRITION
Practice address
4650 W Sunset Blvd
Usc - Ucedd Nutrition, M.S. #53
Los Angeles, CA 90027-6062
Phone
(323) 669-2300
Fax
(323) 844-8305
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marion Taylor Baer, R.D.
Title
Nutrition Director
Phone
(323) 669-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X NU Primary

Addresses

Primary practice location

4650 W Sunset Blvd
Usc - Ucedd Nutrition, M.S. #53
Los Angeles, CA 90027-6062

Mailing address

PO Box 27980
3250 Sunset Blvd.
Los Angeles, CA 90027-0980
Phone (323) 669-2300

National Provider Directory

National Provider Directory

Locations

4650 W Sunset Blvd
#53
Los Angeles, CA 90027
Phone (323) 361-2350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356478861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27980",
            "address_2": "3250 SUNSET BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270980",
            "telephone_number": "323-669-2300",
            "fax_number": "323-844-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "address_2": "USC - UCEDD NUTRITION, M.S. #53",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-669-2300",
            "fax_number": "323-844-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHLA USC-UCEDD NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "NUTRITION DIRECTOR",
        "authorized_official_telephone_number": "323-669-2300",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.