Cherry Blossom Nutrition RDN PC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CHERRY BLOSSOM NUTRITION RDN PC

Doing business as

Root to Bloom Nutrition Therapy

Practice address

13635 Cimarron Ave
Gardena, CA 90249-2499

Phone

(617) 657-9877

Fax

(866) 657-4321

NPI assigned

Nov 28, 2024

Organization subpart

No

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

Authorized official

Name

Jean Liu, MS, RDNNPI 1548877327

Title

Registered Dietitian Nutritionist

Phone

(617) 657-9877

Specialties & licenses 1

Addresses

Other names 1

• Root to Bloom Nutrition Therapy Doing business as

Locations

Practitioners 1

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

• Jean Liu, MS, RDN

  • Registered Dietitian
  • Gardena, CA
  • NPI 1548877327

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1992521553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13635 CIMARRON AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492499",
            "telephone_number": "617-657-9877",
            "fax_number": "866-657-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13635 CIMARRON AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492499",
            "telephone_number": "617-657-9877",
            "fax_number": "866-657-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM NUTRITION RDN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "617-657-9877",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Root to Bloom Nutrition Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Root to Bloom Nutrition Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Chen, DPT
• Jeanie Chen, PHARMD
• Jiajie Chen, BCBA
• Samantha Jia-En Chen
• Alice C Cheng, PHARM. D.
• Alyssa Cheung, PT, DPT
• Victoria Chex
• Chia-Yie Victor Chang (Crown Drugs)
• Chiahuang Fu DDS Inc
• Ludovica Chiandussi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.