Nutri-Med Rx LLC
NPI 1023881794ActiveOrganization· Dietitian, Registered· Camarillo, CA
Dietitian, Registered in Camarillo, California, registered in NPPES in November 2023. The authorized official on file is Destiny Warren, RDN, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023881794 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2023 |
| Last updated in NPPES | Oct 25, 2024 |
| Certified by provider | Oct 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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