Active NPI
Matthew Garrell, RD
- Registered Dietitian
- Venice, CA
National Provider Identifier
1841744539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86027478
- Practice address
- 2403 Louella Ave
2
Venice, CA 90291-5957 - Phone
- (914) 489-6273
- NPI assigned
- Aug 10, 2016
- Last updated
- Aug 10, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86027478 | CA | Primary |
Addresses
Primary practice location
2403 Louella Ave
2
Venice, CA 90291-5957
Mailing address
2403 Louella Ave
2
Venice, CA 90291-5957
Phone (914) 489-6273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6393
2969 Gertrude St
Riverside, CA 92506-4362
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commons Clinic Medical Group, PC | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292
Phone (310) 574-0400
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Marina del Rey, CA
- NPI 1831856640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1841744539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 LOUELLA AVE",
"address_2": "2",
"city": "VENICE",
"state": "CA",
"postal_code": "902915957",
"telephone_number": "914-489-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 LOUELLA AVE",
"address_2": "2",
"city": "VENICE",
"state": "CA",
"postal_code": "902915957",
"telephone_number": "914-489-6273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRELL",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-10",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86027478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.