Individual provider Active NPI

Kenneth Cheng-Liang Lin, RDN

  • Registered Dietitian
  • Torrance, CA
National Provider Identifier
1689459653
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86210120 Issued in CA
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

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
86210120CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center Dietitian, Registered CurrentSince Sep 10, 2023 Accepting new patients
Torrance Memorial Medical Center PastSince Sep 5, 2023 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.