DARRYL RUDD NPI 1104620426

NPI Information

  • NPI: 1104620426
  • Provider Name: DARRYL RUDD
  • Classification: Specialist/Technologist - 2255A2300X
  • Specialization: Athletic Trainer
  • Entity Type: Individual
  • Address: 1100 S BEVERLY DR
    LOS ANGELES, CA
    ZIP 90035
  • Phone: (310) 424-8538

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NPI Details

Darryl Rudd is an athletic trainer specialist technologist in Los Angeles, CA. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Darryl Rudd NPI is 1104620426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 S BEVERLY DR
LOS ANGELES, CA
ZIP 90035-185
Phone: (310) 424-8538

The enumeration date for this NPI number is 4/3/2025 and was last updated on 4/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior Analyst1231132428CALIFORNIANo
2133N00000XNutritionist1231147803CALIFORNIANo
32255A2300XSpecialist/TechnologistAthletic Trainer1231146885CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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