NPIMap

Organization Active NPI

Temecula Dietitians, Inc.

  • Registered Dietitian
  • Murrieta, CA
National Provider Identifier
1104495431
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
TEMECULA DIETITIANS, INC.
Practice address
29970 Technology Dr Ste 118
Murrieta, CA 92563-2647
Phone
(760) 716-1274
NPI assigned
Jun 21, 2021
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Tianna Noelle Nilsen, RDNPI 1558895383
Title
Owner/Dietitian
Phone
(760) 716-1274

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
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

29970 Technology Dr Ste 118
Murrieta, CA 92563-2647

Mailing address

29970 Technology Dr Ste 118
Murrieta, CA 92563-2647
Phone (951) 365-7193

Other practice location 1

220 E Mermaid Ln Unit 189
Philadelphia, PA 19118-3215
Phone (760) 716-1274

Other names 1

  • Realistic Roots Counseling Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118000321 CA Part B Supplier - Clinic/Group Practice 3375995038 Receives reassigned benefits from 7 practitioners
Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

29970 Technology Dr
Ste 105D
Murrieta, CA 92563
Phone (951) 346-0064

29970 Technology Dr
Ste 118
Murrieta, CA 92563
Phone (760) 716-1274

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1104495431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 118",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632647",
            "telephone_number": "951-365-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 118",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632647",
            "telephone_number": "760-716-1274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E Mermaid Ln Unit 189",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191183215",
            "country_code": "US",
            "telephone_number": "760-716-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEMECULA DIETITIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "NILSEN",
        "authorized_official_first_name": "TIANNA",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "760-716-1274",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realistic Roots Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Realistic Roots Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.