Individual provider Active NPI

Tommy Tang Lor, RD

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1922691096
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86154767
Practice address
927 W College St Apt 4
Los Angeles, CA 90012-1179
Phone
(213) 400-7906
NPI assigned
Feb 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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 86154767 Primary

Addresses

Primary practice location

927 W College St Apt 4
Los Angeles, CA 90012-1179

Mailing address

927 W College St Apt 4
Los Angeles, CA 90012-1179
Phone (213) 400-7906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219002704 CA Practitioner - Registered Dietitian Or Nutrition Professional 1658715511 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Jan 6, 2024 Accepting new patients
Tommy Lor Nutrition, LLC Dietitian, Registered CurrentSince Jun 9, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jan 6, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Ste 1300
Los Angeles, CA 90033
Phone (323) 442-5900

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1520 San Pablo St
Ste 1000HC2
Los Angeles, CA 90033

Organizations & group practices 4

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1922691096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 W COLLEGE ST APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121179",
            "telephone_number": "213-400-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 W COLLEGE ST APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121179",
            "telephone_number": "213-400-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOR",
        "first_name": "TOMMY",
        "middle_name": "TANG",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86154767",
            "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 Mar 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.