Organization Active NPI

Urban Fit & Therapy Inc.

  • Sports Physician Chiropractor
  • Los Angeles, CA
National Provider Identifier
1902130057
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC30452 Issued in CA
Legal business name
URBAN FIT & THERAPY INC.
Practice address
408 W 11TH St
Los Angeles, CA 90015-2102
Phone
(310) 994-1205
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Dr. Ryan Pendon, DC
Title
Ceo
Phone
(310) 994-1205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X DC30452 CA Primary

Addresses

Primary practice location

408 W 11TH St
Los Angeles, CA 90015-2102

Mailing address

10501 Wilshire Blvd
Suite 1204
Los Angeles, CA 90024-6302
Phone (310) 994-1205

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1902130057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 WILSHIRE BLVD",
            "address_2": "SUITE 1204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246302",
            "telephone_number": "310-994-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 11TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152102",
            "telephone_number": "310-994-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN FIT & THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "PENDON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-994-1205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC30452",
            "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 Sep 22, 2009; 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.