NPIMap

Organization Active NPI

Core Nutrition Group, Inc.

  • Registered Dietitian
  • Murrieta, CA
National Provider Identifier
1104532464
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CORE NUTRITION GROUP, INC.
Practice address
299702 Technology Drive, Suite 105-D
Murrieta, CA 92563
Phone
(951) 346-0064
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Ms. Lisa Roberts, MS, RDNPI 1780861542
Title
Dietitian Supervisor
Phone
(951) 346-0064

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 DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

299702 Technology Drive, Suite 105-D
Murrieta, CA 92563

Mailing address

29970 Technology Dr Ste 105D
Murrieta, CA 92563-2646

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1104532464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 105D",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299702 TECHNOLOGY DRIVE, SUITE 105-D",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-346-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE NUTRITION GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIETITIAN SUPERVISOR",
        "authorized_official_telephone_number": "951-346-0064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 31, 2023; 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.