Nutri-Med RX LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRI-MED RX LLC

Practice address

4605 La Tuna CT
Camarillo, CA 93012-4035

Phone

(805) 312-5796

Fax

(805) 764-8601

NPI assigned

Nov 3, 2023

Organization subpart

No

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

Authorized official

Name

Destiny Warren, RDNNPI 1497410153

Title

Ceo

Phone

(805) 312-5796

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Destiny Warren, RDN

  • Registered Dietitian
  • Camarillo, CA
  • NPI 1497410153

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1023881794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 LA TUNA CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930124035",
            "telephone_number": "805-312-5796",
            "fax_number": "805-764-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 LA TUNA CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930124035",
            "telephone_number": "805-312-5796",
            "fax_number": "805-764-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRI-MED RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-312-5796",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Nunez
• Travis Norris Nunn
• Vijay Nunn
• Denise Nunnery
• Amelia Guadalupe Nuno
• Denzel Nwanguma
• Kristen McCurdy O'Cain, LMFT
• Rebecca Pearle O'Malley
• Oak View Hospice, Inc.
• Cristina Ocampo, B.S.

• Registered Dietitian in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.