MR. LUIS ROBERTO MORA (NPI# 1487020681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487020681 |
| Entity Type | Individual |
| Full Name | MR. LUIS ROBERTO MORA |
| Credential | RD |
| Practice Address |
5807 Avalon Blvd Los Angeles CA 90011-5303 |
| Mailing Address |
10207 San Anselmo Ave South Gate CA 90280-5624 |
| Practice Telephone | 3232332452 |
| Mailing Telephone | 3233604050 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86003373 | CA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356576961 | Luis H. Mora | Podiatrist | 2749 Hylan Blvd, Staten Island, NY 10306-4656 | 2009-05-27 |
| 1104003664 | Luis Fernando Mora | Internal Medicine | 5258 Linton Blvd Ste 106, Delray Beach, FL 33484 | 2008-01-28 |
| Street Address |
5807 AVALON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90011-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619092475 | Arquetta Collins | Counselor | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2007-03-20 |
| 1659780120 | Total Renal Care Inc | Clinic/Center | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2014-08-08 |
| 1922380005 | Mariah Tuffy | Counselor | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2011-09-14 |
| 1619256708 | Ranateh Shaghoolian | Case Manager/Care Coordinator | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2011-08-08 |
| 1548549546 | Charly Paap | Case Manager/Care Coordinator | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2011-08-08 |
| 1376842336 | Norma Guerrero-lewis | Marriage & Family Therapist | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2011-03-16 |
| 1093022352 | Jasville Molina | Rehabilitation Practitioner | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2010-09-08 |
| 1245543743 | Zuleika Andrade | Social Worker | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2010-07-26 |
| 1205159035 | Jose Gonzalez | Rehabilitation Practitioner | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2010-03-08 |
| 1558515585 | Louis Hernandez | Rehabilitation Practitioner | 5807 Avalon Blvd, Los Angeles, CA 90011-5303 | 2008-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1295377711 | Joseph D Madrigal | Home Health Aide | 1977 Anzac Ave, Los Angeles, CA 90011 | 2019-10-16 |
| 1538641212 | Brenda Bahena | Community Health Worker | South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 | 2018-08-30 |
| 1083101851 | Bronwyn Anne Hazlewood | Student in an Organized Health Care Education/Training Program | 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 | 2018-04-17 |
| 1164941183 | Kimberly Denise Lister- Gutierrez | Counselor | 303 E 52nd Street, Los Angeles, CA 90011 | 2017-09-11 |
| 1205252533 | Jameese B Smith | Case Manager/Care Coordinator | 271 E. 43rd Street, Los Angeles, CA 90011 | 2014-03-11 |
| 1033533153 | Avalon-carver Community Center | Community/Behavioral Health | 4920 S. Avalon Blvd, Los Angeles, CA 90011 | 2014-02-10 |
| 1245672500 | Kellie D Bougard | Student in an Organized Health Care Education/Training Program | 4920 South Avalon Blvd, Los Angeles, CA 90011 | 2013-07-26 |
| 1578909404 | Ma. Jasmin F Binas | Nurse Practitioner | 2707 S.central Ave., Los Angeles, CA 90011 | 2013-05-19 |
| 1912343344 | California Assisted Pharmacy, Inc | Pharmacy | 646 E 28th St, Ste #1, Los Angeles, CA 90011 | 2013-05-13 |
| Find all providers in zip 90011 | ||||
| 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 | 90011 |
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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.