Active NPI
Michelle Hartowidjojo, RD
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1407600406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86359327
- Practice address
- 411 S Normandie Ave Apt 501
Los Angeles, CA 90020-3386 - Phone
- (213) 519-8014
- NPI assigned
- Apr 16, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86359327 | CA | Primary |
Addresses
Primary practice location
411 S Normandie Ave Apt 501
Los Angeles, CA 90020-3386
Mailing address
411 S Normandie Ave Apt 501
Los Angeles, CA 90020-3386
Phone (213) 519-8014
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86359327 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1407600406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 S NORMANDIE AVE APT 501",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203386",
"telephone_number": "213-519-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 S NORMANDIE AVE APT 501",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203386",
"telephone_number": "213-519-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTOWIDJOJO",
"first_name": "MICHELLE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86359327",
"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 May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.