Active NPI
Chla Usc-Ucedd Nutrition
- Pediatric Nutrition Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1356478861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- School Psychologist
- Los Angeles, CA
- NPI 1124146873
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.