Active NPI
Eliza Lee, RDN
- Registered Dietitian
- Loma Linda, CA
National Provider Identifier
1962156208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86209676
- Practice address
- 1710 Barton Rd
Loma Linda, CA 92373-5304 - Phone
- (909) 307-4885
- NPI assigned
- Feb 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86209676 | CA | Primary |
Addresses
Primary practice location
1710 Barton Rd
Loma Linda, CA 92373-5304
Mailing address
1710 Barton Rd
Loma Linda, CA 92373-5304
Phone (909) 307-4885
Other names 1
- Eliza Lee Min Xian Cheng
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | echeng@llu.edu |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86209676 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Nourished Bodies | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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": "1644105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1962156208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 BARTON RD",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923735304",
"telephone_number": "909-307-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 BARTON RD",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923735304",
"telephone_number": "909-307-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ELIZA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-06",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86209676",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "echeng@llu.edu",
"affiliation": "N",
"address_1": "1710 Barton Rd",
"city": "Loma Linda",
"state": "CA",
"country_code": "US",
"postal_code": "923735304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELIZA",
"last_name": "CHENG",
"middle_name": "LEE MIN XIAN",
"credential": "RDN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.