Le Vena Tan, RD, IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86329279 Issued in CA

Practice address

2350 W Shaw Ave Ste 106
Fresno, CA 93711-3412

Phone

(559) 451-0460

NPI assigned

Nov 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1184593709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 EMPRESS LN",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953828707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W SHAW AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113412",
            "telephone_number": "559-451-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "LE VENA",
        "credential": "RD, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-306840",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86329279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Eric Doria Tamondong, M.D.
• Frank Tamura, M.D.
• Marc Clint Tan-Shuttleworth I
• Doris Tiu Tan, D.O.
• Kammi Tan
• Nanette Audrey Tan, D.P.T.
• Raymond Charles Tan, MD
• Douglas S. Tanaka, PA
• Abhishek Tandon, MD
• Brandon Quyen Tang, RPH

• Registered Dietitian in Fresno, CA
• Providers in Fresno, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.