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SAMANTHA LALUSH NUTRITION LLC
NPI 1124719224
Dietitian, Registered in San Luis Obispo, CA

Active since May 18, 2023
1022 MILL ST, SAN LUIS OBISPO, CA 93401(805) 242-6417(805) 249-1915 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Lalush Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA LALUSH NUTRITION LLC (NPI 1124719224) is a healthcare organization registered as a dietitian, registered in San Luis Obispo, California and active in the NPI registry since May 2023. The organization lists Samantha Lalush, Owner, as its authorized official.

NPPES Registry Identity

NPI1124719224
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameSAMANTHA LALUSH NUTRITION LLC
Location Address1022 MILL STSan Luis Obispo, CA 93401-2784
Mailing Address1022 Mill StSan Luis Obispo, CA 93401-2784 · (805) 242-6417 · Fax (805) 249-1915
Phone(805) 242-6417
Fax(805) 249-1915
Organization SubpartNo
Authorized OfficialSamantha LalushOwner · (805) 215-6572
Enumeration DateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1124719224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1022 MILL ST, San Luis Obispo, CA 93401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Lalush Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samantha Lalush Nutrition LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samantha Lalush, RD
Registered Dietitian or Nutrition Professional
NPI 1770889735
1022 MILL ST
San Luis Obispo, CA 93401
(805) 242-6417
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Lalush Nutrition LLC's NPI number?

The NPI number for Samantha Lalush Nutrition LLC is 1124719224. It was assigned to this organization in the NPPES registry on May 18, 2023.

Where is Samantha Lalush Nutrition LLC located?

Samantha Lalush Nutrition LLC is located at 1022 Mill St, San Luis Obispo, CA 93401. The listed phone number is (805) 242-6417.

What is Samantha Lalush Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Samantha Lalush Nutrition LLC enrolled in Medicare?

Yes. Samantha Lalush Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samantha Lalush Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Samantha Lalush Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Lalush Nutrition LLC was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.