Organization Active NPI

Nurture by Newberry

  • Clinic/Center
  • Anaheim, CA
National Provider Identifier
1003610403
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melinda Newberry, RDNNPI 1316610058
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.