Active NPI
Nutri-Life LLC
- Registered Dietitian
- Brea, CA
National Provider Identifier
1699552620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRI-LIFE LLC
- Practice address
- 3230 E Imperial Hwy Ste 300
Brea, CA 92821-6751 - Phone
- (626) 548-9858
- NPI assigned
- Sep 13, 2023
- Last updated
- Sep 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Maggie Chen, REGISTERED DIETITIAN
- Title
- Owner
- Phone
- (626) 548-9858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X |
Addresses
Primary practice location
3230 E Imperial Hwy Ste 300
Brea, CA 92821-6751
Mailing address
3230 E Imperial Hwy Ste 300
Brea, CA 92821-6751
Phone (626) 548-9858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Registered Dietitian
- Claremont, CA
- NPI 1043826647
Dietitian, Registered
-
- Registered Dietitian
- Brea, CA
- NPI 1811644214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694908800000",
"number": "1699552620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 E IMPERIAL HWY STE 300",
"city": "BREA",
"state": "CA",
"postal_code": "928216751",
"telephone_number": "626-548-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 E IMPERIAL HWY STE 300",
"city": "BREA",
"state": "CA",
"postal_code": "928216751",
"telephone_number": "626-548-9858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRI-LIFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-17",
"certification_date": "2023-09-17",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "MAGGIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-548-9858",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "REGISTERED DIETITIAN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.