LIFESTYLE MEDICINE INSTITUTE LLC
NPI 1669898193
Dietitian, Registered in Loma Linda, CA

Q: What is Lifestyle Medicine Institute LLC's NPI number?

The NPI number for Lifestyle Medicine Institute LLC is 1669898193. It was assigned to this organization in the NPPES registry on March 7, 2014.

Q: What is Lifestyle Medicine Institute LLC's specialty?

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

Active since March 07, 2014

25805 BARTON RD, BLDG. A, UNIT 106, LOMA LINDA, CA 92354(909) 796-7676(909) 586-9342 Get Directions Write a Review

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

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About Lifestyle Medicine Institute Llc NPPES

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

LIFESTYLE MEDICINE INSTITUTE LLC (NPI 1669898193) is a healthcare organization registered as a dietitian, registered in Loma Linda, California and active in the NPI registry since March 2014. The organization lists Justine Kuehn, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1669898193

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameLIFESTYLE MEDICINE INSTITUTE LLC

Location Address25805 BARTON RD, BLDG. A, UNIT 106Loma Linda, CA 92354-3814

Mailing Address15732 Los Gatos Blvd # 125Los Gatos, CA 95032-2504 · (909) 796-7676

Phone(909) 796-7676

Fax(909) 586-9342

Organization SubpartNo

Authorized OfficialJustine KuehnManaging Director · (408) 209-2688

Enumeration DateMarch 7, 2014

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1669898193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in CA · 01107466

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.

25805 BARTON RD, Loma Linda, CA 92354

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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)

Lifestyle Medicine Institute 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 Lifestyle Medicine Institute LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wayne Dysinger, M.D.

Family Practice

NPI 1023121837

4368 CENTRAL AVE
Riverside, CA 92506

(951) 742-7324

✔ PECOS✔ Accepts Medicare11 mi

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 Lifestyle Medicine Institute LLC's NPI number?

The NPI number for Lifestyle Medicine Institute LLC is 1669898193. It was assigned to this organization in the NPPES registry on March 7, 2014.

Where is Lifestyle Medicine Institute LLC located?

Lifestyle Medicine Institute LLC is located at 25805 Barton Rd Bldg. A, Unit 106, Loma Linda, CA 92354. The listed phone number is (909) 796-7676.

What is Lifestyle Medicine Institute LLC's specialty?

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

Is Lifestyle Medicine Institute LLC enrolled in Medicare?

Yes. Lifestyle Medicine Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifestyle Medicine Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lifestyle Medicine Institute 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 Lifestyle Medicine Institute LLC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.