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NUTRI-LIFE LLC
NPI 1699552620
Dietitian, Registered in Brea, CA

Active since September 13, 2023
3230 E IMPERIAL HWY STE 300, BREA, CA 92821(626) 548-9858 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nutri-life Llc NPPES

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

NUTRI-LIFE LLC (NPI 1699552620) is a healthcare organization registered as a dietitian, registered in Brea, California and active in the NPI registry since September 2023. The organization lists Maggie Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1699552620
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameNUTRI-LIFE LLC
Location Address3230 E IMPERIAL HWY STE 300Brea, CA 92821-6751
Mailing Address3230 E Imperial Hwy Ste 300Brea, CA 92821-6751 · (626) 548-9858
Phone(626) 548-9858
Organization SubpartNo
Authorized OfficialMaggie ChenOwner · (626) 548-9858
Enumeration DateSeptember 13, 2023
Last NPPES UpdateSeptember 17, 2023
NPPES CertifiedSeptember 17, 2023
✔ NPI 1699552620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
3230 E IMPERIAL HWY STE 300, Brea, CA 92821
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Nutri-life Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nutri-Life LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Wan Wang, RD
Registered Dietitian or Nutrition Professional
NPI 1306593280
3230 E IMPERIAL HWY STE 300
Brea, CA 92821
(559) 740-3967
✔ Accepts MedicareSame address
Kaori Murata-Shih, MS, RD, CSR
Registered Dietitian or Nutrition Professional
NPI 1043826647
250 W 1ST ST STE 312
Claremont, CA 91711
(626) 236-0124
✔ Accepts Medicare15 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 Nutri-Life LLC's NPI number?

The NPI number for Nutri-Life LLC is 1699552620. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Nutri-Life LLC located?

Nutri-Life LLC is located at 3230 E Imperial Hwy Ste 300, Brea, CA 92821. The listed phone number is (626) 548-9858.

What is Nutri-Life LLC's specialty?

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

Is Nutri-Life LLC enrolled in Medicare?

Yes. Nutri-Life LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nutri-Life LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Nutri-Life 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nutri-Life LLC was last updated on September 17, 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.