Ag Nutrition Services LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

925528

Legal business name

AG NUTRITION SERVICES LLC

Practice address

1245 Wilshire Blvd
Suite 305
Los Angeles, CA 90017-4810

Phone

(626) 768-8331

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Allison Graves, MS, RD, CNSC

Title

Owner

Phone

(626) 768-8331

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• April Holliday, R.D.

  • Registered Dietitian
  • Los Angeles, CA
  • NPI 1700014099

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1477704146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N HUDSON AVE",
            "address_2": "UNIT A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011634",
            "telephone_number": "626-768-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "626-768-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG NUTRITION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-768-8331",
        "authorized_official_credential": "MS, RD, CNSC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "925528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1467626135",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Aftandilians
• Jennifer Lauren Aftergood, MPH, RD
• Aftermath Medical Group, Onc.
• Payam Afzali, DDS, MD
• Ag Infectious Diseases, a Medical Corporation
• Ani Agabalian
• Ihuoma Maria Agada
• Steven Slava Agafonoff
• Against All Odds Recovery LLC
• Arthur Raffie Agajanian

• Registered Dietitian in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.