Long Life Nutrition Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LONG LIFE NUTRITION INC

Practice address

39335 Via Zaragoza
Murrieta, CA 92563-5253

Phone

(818) 620-8307

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Carolina Cano, RDNPI 1841023769

Title

Ceo, Secretary

Phone

(818) 620-8307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolina Cano, RDN

  • Registered Dietitian
  • Rancho Mission Viejo, CA
  • NPI 1841023769

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Nancy Numydia Cotry Ochoa

  • Registered Dietitian
  • Murrieta, CA
  • NPI 1255165973

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1831089457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39335 VIA ZARAGOZA",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635253",
            "telephone_number": "818-620-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39335 VIA ZARAGOZA",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635253",
            "telephone_number": "818-620-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LIFE NUTRITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "CANO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "CEO, SECRETARY",
        "authorized_official_telephone_number": "818-620-8307",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loma Linda University Medical Center-Murrieta
• Loma Linda University Pathology Medical Group, Inc.
• Loma Linda University Radiation Medicine
• Loma Linda Vamc
• Destiny Loney
• Long Ngoc Phan, DMD, Inc
• Khalil Long
• Longs Drug Stores California LLC
• Jenina Lontok, LCSW
• Marilen Loo, NP-BC

• Registered Dietitian in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.

Verify at the official NPI Registry.