Active NPI
Bryan X Lian, RD
- Registered Dietitian
- Menlo Park, CA
National Provider Identifier
1275800518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1225 Crane St
Suite 205
Menlo Park, CA 94025-4257 - Phone
- (650) 308-8226
- NPI assigned
- Nov 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | CA | ||
| Registered Dietitian | 133V00000X | CA | Primary |
Addresses
Primary practice location
1225 Crane St
Suite 205
Menlo Park, CA 94025-4257
Mailing address
1225 Crane St
Suite 205
Menlo Park, CA 94025-4257
Phone (650) 308-8226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 16, 2024 through Aug 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455926400000",
"number": "1275800518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 CRANE ST",
"address_2": "SUITE 205",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254257",
"telephone_number": "650-308-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 CRANE ST",
"address_2": "SUITE 205",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254257",
"telephone_number": "650-308-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAN",
"first_name": "BRYAN",
"middle_name": "X",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-30",
"last_updated": "2016-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.