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

Last updated

Oct 7, 2025By the provider in NPPES

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-SNPI 1275800518

Title

Founder/Clinic Director

Phone

(650) 308-8226

Specialties & licenses 1

Addresses

Other names 1

• Body Heart Food Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan X Lian, RD

  • Registered Dietitian
  • Menlo Park, CA
  • NPI 1275800518
  Authorized official Same address or phone

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.