Active NPI
Nurture by Newberry
- Clinic/Center
- Anaheim, CA
National Provider Identifier
1003610403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NURTURE BY NEWBERRY
- Practice address
- 1720 W Ball Rd # 4B1003
Anaheim, CA 92804-5500 - Phone
- (657) 201-9534
- NPI assigned
- Apr 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda Newberry, RDN
- Title
- Ceo
- Phone
- (562) 536-2571
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1720 W Ball Rd # 4B1003
Anaheim, CA 92804-5500
Mailing address
1720 W Ball Rd Ste 4B1003
Anaheim, CA 92804-5500
National Provider Directory
National Provider DirectoryLocations
1720 W Ball Rd
Ste 4B1003
Anaheim, CA 92804
1720 W Ball Rd
#4B1003
Anaheim, CA 92804
Phone (657) 201-9534
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Los Angeles, CA
- NPI 1316610058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747008000000",
"number": "1003610403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 W BALL RD STE 4B1003",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928045500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 W BALL RD # 4B1003",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928045500",
"telephone_number": "657-201-9534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURTURE BY NEWBERRY",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-03",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A",
"authorized_official_last_name": "NEWBERRY",
"authorized_official_first_name": "MELINDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-536-2571",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.