Success in Life Weight Management

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

SUCCESS IN LIFE WEIGHT MANAGEMENT

Doing business as

Lite for Life

Practice address

713 Oak Grove Ave
Menlo Park, CA 94025-4319

Phone

(650) 323-5483

NPI assigned

Sep 10, 2011

Last updated

Sep 10, 2011By 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

Linda J Hicks

Title

Owner

Phone

(650) 323-5483

Specialties & licenses 1

Addresses

Other names 1

• Lite for Life Doing business as

Locations

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315612800000",
    "number": "1871875492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 OAK GROVE AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254319",
            "telephone_number": "650-323-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 OAK GROVE AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254319",
            "telephone_number": "650-323-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS IN LIFE WEIGHT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-10",
        "last_updated": "2011-09-10",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-323-5483"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lite for Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Kay Stotko, OTR CHT
• Diane Strachowski, ED.D
• Christianne Elizabeth Strickland, MD
• Aaron David Stumpf
• Charity Styles, D.O., M.P.H.
• Ayesha Chatterji Sujan
• Summerbio LLC
• Summit Behavior Company LLC
• Lana Jean Sundahl, D.D.S.
• Sutter Bay Hospitals (Menlo Park Surgical Hospital)

• Health Maintenance Organization in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2011; 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.