Individual provider Active NPI

Ulysses Rico Zendejas Jr., RDN

  • Registered Dietitian
  • Rancho Mirage, CA
National Provider Identifier
1053192047
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86358863 Issued in CA
Practice address
36101 Bob Hope Dr Ste a
Rancho Mirage, CA 92270-2001
Phone
(760) 321-1315
Fax
(760) 321-1094
NPI assigned
Oct 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86358863 CA Primary

Addresses

Primary practice location

36101 Bob Hope Dr Ste a
Rancho Mirage, CA 92270-2001

Mailing address

36101 Bob Hope Dr Ste a
Rancho Mirage, CA 92270-2001
Phone (760) 321-1315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231026002849 CA Practitioner - Registered Dietitian Or Nutrition Professional 3375999337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86358863CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Moeller-Bertram Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Oct 16, 2023 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Oct 16, 2023 Accepting new patients

Locations

81812 Doctor Carreon Blvd
Ste D
Indio, CA 92201
Phone (760) 347-7676

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

1133 N Palm Canyon Dr
Palm Springs, CA 92262
Phone (760) 318-8722

1133 N Palm Canyon Dr
Ste A
Palm Springs, CA 92262
Phone (760) 320-2200

36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
#A
Rancho Mirage, CA 92270
Phone (949) 783-3600

36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315

12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1053192047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR STE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702001",
            "telephone_number": "760-321-1315",
            "fax_number": "760-321-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR STE A",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702001",
            "telephone_number": "760-321-1315",
            "fax_number": "760-321-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENDEJAS",
        "first_name": "ULYSSES",
        "middle_name": "RICO",
        "name_suffix": "Jr.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-06",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86358863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.