BAMBOO NUTRITION THERAPY, INC. (NPI# 1164917282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164917282 |
| Entity Type | Organization |
| Organization Name | BAMBOO NUTRITION THERAPY, INC. |
| Practice Address |
633 W 5th St Ste 2600 Los Angeles CA 90071 |
| Mailing Address |
633 W 5th St Ste 2600 Los Angeles CA 90071-2053 |
| Practice Telephone | 3239893305 |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | SAMANTHA GIERTYCH (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3239893305 |
| Authorized Official Credential | RDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
633 W 5TH ST STE 2600 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985885 | Carly A Marenna | Dietitian, Registered | 633 W 5th St Ste 2600, Los Angeles, CA 90071-2053 | 2020-09-04 |
| 1457900441 | Care Connection, Inc. | Day Training, Developmentally Disabled Services | 633 W 5th St Ste 2600, Los Angeles, CA 90071-2053 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629295639 | Naomi Blum | Social Worker | 601 W. 5th St., #310, Los Angeles, CA 90071 | 2007-04-19 |
| 1003989476 | Lynn A Slade | Social Worker | 601 West Fifth Street, 310, Los Angeles, CA 90071 | 2006-11-15 |
| 1184706681 | Christopher Bartlett Franklin | Psychologist | 520 S Grand Ave Ste 680, Los Angeles, CA 90071 | 2006-10-20 |
| 1215934971 | Craig David Gordon | Internal Medicine | 333 South Hope Street, Floor 31, Capital Group, La, CA 90071 | 2005-07-07 |
| 1760734883 | James C Feng | Dentist | 350 S Figueroa St, Suite 551, Los Angeles, CA 90071-1102 | 2012-10-12 |
| 1023671815 | Debra Duran | Registered Nurse | 350 S Figueroa St Ste 990, Los Angeles, CA 90071-1308 | 2019-04-17 |
| 1487725016 | Pital Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 333 S Grand Ave Ste 3310, Los Angeles, CA 90071-1538 | 2006-11-13 |
| 1134601784 | Adriana Fernandez | Social Worker | 355 S Grand Ave, Los Angeles, CA 90071-1560 | 2018-08-30 |
| 1457813859 | Mark Tinley | Marriage & Family Therapist | 445 S Figueroa St # 3128, Los Angeles, CA 90071-1602 | 2019-04-03 |
| 1821566639 | Iconic Care Inc | Durable Medical Equipment & Medical Supplies | 445 S Figueroa St Fl 31, Los Angeles, CA 90071-1602 | 2018-11-09 |
| Find all providers in zip 90071 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827510 | Chelsea Fujitaki | Dietitian, Registered | 3547 S Barrington Ave, Los Angeles, CA 90066-2829 | 2020-10-08 |
| 1215549449 | Zoe Delaney Womack | Dietitian, Registered | 10528 Lauriston Ave, Los Angeles, CA 90064-2315 | 2020-08-19 |
| 1588275846 | Diana Davila | Dietitian, Registered | 4627 1/2 Strang Ave, Los Angeles, CA 90022-1872 | 2020-08-11 |
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1144846585 | Tiffany Yuan | Dietitian, Registered | 2605 Severance St Apt 303, Los Angeles, CA 90007-2535 | 2020-06-22 |
| 1497379499 | Mariah Haroon | Dietitian, Registered | 2810 S Sepulveda Blvd Apt 301, Los Angeles, CA 90064-3900 | 2020-06-04 |
| 1144841362 | Elizabeth Anne Mckee | Dietitian, Registered | 1830 Taft Ave Apt 305, Los Angeles, CA 90028-5795 | 2020-04-28 |
| 1023638772 | Marisa Schor | Dietitian, Registered | 4518 Los Feliz Blvd Apt 3, Los Angeles, CA 90027-2045 | 2020-04-23 |
| 1427683853 | Jennifer White | Dietitian, Registered | Ronald Reagan Medical Center 757 Westwood Plaza B 147, Los Angeles, CA 90095-0001 | 2020-03-05 |
| 1760016737 | Still I Thrive Functional Nutrition LLC | Dietitian, Registered | 3713 Kelton Ave, Los Angeles, CA 90034-7119 | 2020-02-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90071 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.