Active NPI
Edwin Carlyle Floyd, M.S.,D.C.(D.I.M.)
- Specialist
- Los Angeles, CA
National Provider Identifier
1740595685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1740595685
- Practice address
- 6820 La Tijera Blvd
Suite 111
Los Angeles, CA 90045-1908 - Phone
- (323) 290-6159
- Fax
- (310) 844-7411
- NPI assigned
- Aug 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC11903 | CA | |
| Specialist | 174400000X | 1740595685 | ID | Primary |
| Homeopath | 175L00000X | 0004 | CA | |
| Homeopath | 175L00000X | 1740595685 | ID |
Addresses
Primary practice location
6820 La Tijera Blvd
Suite 111
Los Angeles, CA 90045-1908
Mailing address
269 S Beverly Dr
536
Beverly Hills, CA 90212-3851
Phone (323) 290-6159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740595685 | Other | SOLE PROVIDER |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC11903 | CA | MD | Nutrition Chiropractor |
| 1740595685 | ID | MD | Homeopath |
| 0004 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1740595685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 S BEVERLY DR",
"address_2": "536",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123851",
"telephone_number": "323-290-6159",
"fax_number": "310-844-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 LA TIJERA BLVD",
"address_2": "SUITE 111",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900451908",
"telephone_number": "323-290-6159",
"fax_number": "310-844-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "EDWIN",
"middle_name": "CARLYLE",
"name_prefix": "Dr.",
"credential": "M.S.,D.C.(D.I.M.)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-16",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC11903",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "1740595685",
"primary": true
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "CA",
"license": "0004",
"primary": false
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "ID",
"license": "1740595685",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOLE PROVIDER",
"identifier": "1740595685",
"state": null
}
],
"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 Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.