360 Nutrition Consulting Inc
NPI 1033629175ActiveOrganization· Dietitian, Registered· Camarillo, CA
Dietitian, Registered in Camarillo, California, registered in NPPES in October 2017. The authorized official on file is Kelsea Johanna Palace, RDN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033629175 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2017 |
| Last updated in NPPES | Jul 15, 2026 |
| Certified by provider | Jul 15, 2026 |
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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