Individual provider Active NPI

Julia Glanz, DIETITIAN

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1760021794
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86117628 Issued in CA
Practice address
11841 Goshen Ave Apt 2
Los Angeles, CA 90049-6332
Phone
(310) 388-7594
NPI assigned
Dec 20, 2019
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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 86117628 CA Primary

Addresses

Primary practice location

11841 Goshen Ave Apt 2
Los Angeles, CA 90049-6332

Mailing address

11841 Goshen Ave Apt 2
Los Angeles, CA 90049-6332
Phone (310) 388-7594

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
86117628CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1760021794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11841 GOSHEN AVE APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496332",
            "telephone_number": "310-388-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11841 GOSHEN AVE APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496332",
            "telephone_number": "310-388-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANZ",
        "first_name": "JULIA",
        "credential": "DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86117628",
            "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 Dec 20, 2019; 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.