Samantha Lalush Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SAMANTHA LALUSH NUTRITION LLC

Practice address

1022 Mill St
San Luis Obispo, CA 93401-2784

Phone

(805) 242-6417

Fax

(805) 249-1915

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Samantha Lalush, REGISTERED DIETITIANNPI 1770889735

Title

Owner

Phone

(805) 215-6572

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Rider Lalush, RD

  • Registered Dietitian
  • San Luis Obispo, CA
  • NPI 1770889735

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Bonnie Wagner Wikler, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1982654695
  NPD (past)

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1124719224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 MILL ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012784",
            "telephone_number": "805-242-6417",
            "fax_number": "805-249-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MILL ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012784",
            "telephone_number": "805-242-6417",
            "fax_number": "805-249-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA LALUSH NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "LALUSH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-215-6572",
        "authorized_official_credential": "REGISTERED DIETITIAN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Esperanza Salinas
• Delailah Lagutan Salinas, R.N.
• Joshuah Salmeron, LMFT
• Diana Louise Samac, NP-C
• David K Samanie, M.D.
• Deborah Sampley, D.C. Q.M.E
• Helen M Sampson, LCSW
• Nicholas Philip San Juan
• San Lui Obispo Center for Change
• San Luis Ambulance Service, Inc.

• Registered Dietitian in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.