Individual provider Active NPI

Guanlan Liu, RD

  • Registered Dietitian
  • Scottsdale, AZ
National Provider Identifier
1710608930
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
086133049 Issued in CA
Practice address
9375 E Shea Blvd Ste 121C
Scottsdale, AZ 85260-6991
Phone
(480) 382-2139
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 086133049 CA Primary

Addresses

Primary practice location

9375 E Shea Blvd Ste 121C
Scottsdale, AZ 85260-6991

Mailing address

250 N Linden Ave SPC 304
Rialto, CA 92376-0596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086133049CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fim Health Dietitian, Registered CurrentSince Mar 11, 2025 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

112 N Central Ave
Fl 1
Phoenix, AZ 85004
Phone (520) 955-8236

9375 E Shea Blvd
Ste 121C
Scottsdale, AZ 85260
Phone (480) 382-2139

Organizations & group practices 2

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1710608930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N LINDEN AVE SPC 304",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923760596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 E SHEA BLVD STE 121C",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606991",
            "telephone_number": "480-382-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "GUANLAN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "086133049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.