NPIMap

Organization Active NPI

Lean Aging Wellness Limited Liability Company

  • Massage Therapist
  • Lancaster, CA
National Provider Identifier
1194477026
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LEAN AGING WELLNESS LIMITED LIABILITY COMPANY
Practice address
2309 Dallin St
Lancaster, CA 93536-5792
Phone
(661) 524-6160
Fax
(661) 418-5916
NPI assigned
Jan 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Authorized official

Name
Mr. Ron Kusek Jr., NSCA-CPT, CTNC, CMTNPI 1568015436
Title
Owner
Phone
(661) 753-7708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Pain Clinic/Center 261QP3300X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

2309 Dallin St
Lancaster, CA 93536-5792

Mailing address

2309 Dallin St
Lancaster, CA 93536-5792
Phone (661) 753-7708

Other names 1

  • Lean Aging Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740182400000",
    "number": "1194477026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 DALLIN ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365792",
            "telephone_number": "661-753-7708",
            "fax_number": "661-418-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 DALLIN ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365792",
            "telephone_number": "661-524-6160",
            "fax_number": "661-418-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAN AGING WELLNESS LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "KUSEK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-753-7708",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NSCA-CPT, CTNC, CMT"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lean Aging Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lean Aging Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.