Nutrition Support Clinic

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION SUPPORT CLINIC

Practice address

3986 Payne Ave
San Jose, CA 95117-3451

Phone

(650) 308-8226

Fax

(844) 306-1078

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Bryan X Lian, MS, RD, CEDRD-S

Title

Founder/Clinic Director

Phone

(650) 308-8226

Specialties & licenses 1

Addresses

Other names 1

• Body Heart Food Former legal business name

Locations

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1487260287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 PAYNE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951173451",
            "telephone_number": "650-308-8226",
            "fax_number": "844-306-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 PAYNE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951173451",
            "telephone_number": "650-308-8226",
            "fax_number": "844-306-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION SUPPORT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "LIAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "FOUNDER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "650-308-8226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, RD, CEDRD-S"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Heart Food",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Registered Dietitian in San Jose, CA
• Providers in San Jose, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.