Active NPI
Lori Lichterman, RD
- Registered Dietitian
- Culver City, CA
National Provider Identifier
1194134650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 991086
- Practice address
- 10727 Jefferson Blvd
Culver City, CA 90230-4932 - Phone
- (954) 536-5062
- NPI assigned
- Aug 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 991086 | CA | Primary |
Addresses
Primary practice location
10727 Jefferson Blvd
Culver City, CA 90230-4932
Mailing address
19849 Haynes St
Woodland Hills, CA 91367-2819
Phone (954) 536-5062
Other names 1
- Lori Blumin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 991086 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1194134650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19849 HAYNES ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913672819",
"telephone_number": "954-536-5062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10727 JEFFERSON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304932",
"telephone_number": "954-536-5062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTERMAN",
"first_name": "LORI",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-09",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "991086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "BLUMIN",
"credential": "RD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.