Active NPI
Kenneth Cheng-Liang Lin, RDN
- Registered Dietitian
- Torrance, CA
National Provider Identifier
1689459653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86210120
- Practice address
- 2841 Lomita Blvd Ste 335
Torrance, CA 90505-5114 - Phone
- (310) 891-6707
- NPI assigned
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 86210120 | CA | Primary |
Addresses
Primary practice location
2841 Lomita Blvd Ste 335
Torrance, CA 90505-5114
Mailing address
3330 Lomita Blvd
Nutrition Services
Torrance, CA 90505
Phone (310) 325-9110
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 |
|---|---|---|---|
| 86210120 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrance Memorial Medical Center | Dietitian, Registered | Current | Accepting new patients |
| Torrance Memorial Medical Center | Past | Accepting new patients |
Locations
3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675
2841 Lomita Blvd
Ste 335
Torrance, CA 90505
Phone 310517473774785
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/Dbsl25a-uo0gf9Q0PnfwA_QlUbZ5qTHL/
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.
-
- Registered Dietitian
- Torrance, CA
- NPI 1134905904
Dietitian, Registered
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1689459653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 LOMITA BLVD",
"address_2": "NUTRITION SERVICES",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90505",
"telephone_number": "310-325-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 LOMITA BLVD STE 335",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055114",
"telephone_number": "310-891-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "KENNETH",
"middle_name": "CHENG-LIANG",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86210120",
"primary": true
}
],
"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 Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.