Organization Active NPI

Live Love Food 4 Life

  • Health Service Clinic/Center
  • Beaumont, CA
National Provider Identifier
1801419817
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LIVE LOVE FOOD 4 LIFE
Practice address
1410 Redwood St
Beaumont, CA 92223-3136
Phone
(562) 328-4202
NPI assigned
May 26, 2020
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Loren Landeros, RDN, MPH, CLTNPI 1073154530
Title
Owner
Phone
(562) 328-4202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1410 Redwood St
Beaumont, CA 92223-3136

Mailing address

1410 Redwood St
Beaumont, CA 92223-3136
Phone (562) 328-4202

Other names 1

  • Live Love Food 4 Life Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1801419817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 REDWOOD ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233136",
            "telephone_number": "562-328-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 REDWOOD ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233136",
            "telephone_number": "562-328-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LOVE FOOD 4 LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "LANDEROS",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-328-4202",
        "authorized_official_credential": "RDN, MPH, CLT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Love Food 4 Life",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Live Love Food 4 Life",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.