Individual provider Active NPI

Leslie Tran, RDN

  • Registered Dietitian
  • Victorville, CA
National Provider Identifier
1174355820
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86326542 Issued in CA
Practice address
12830 Hesperia Rd Ste a-D
Victorville, CA 92395-7788
Phone
(760) 684-8999
Fax
(760) 684-8111
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

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 86326542 CA Primary

Addresses

Primary practice location

12830 Hesperia Rd Ste a-D
Victorville, CA 92395-7788

Mailing address

12830 Hesperia Rd Ste a-D
Victorville, CA 92395-7788
Phone (760) 684-8999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910001074 CA Practitioner - Registered Dietitian Or Nutrition Professional 7214477868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86326542CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Moeller-Bertram Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Sep 22, 2024 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Sep 22, 2024 Accepting new patients

Locations

17450 Main St
Ste D
Hesperia, CA 92345
Phone (760) 493-2929

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

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

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

1695 S San Jacinto Ave
Ste A
San Jacinto, CA 92583
Phone (951) 330-3100

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

12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143

12830 Hesperia Rd
Ste C
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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1174355820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 HESPERIA RD STE A-D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957788",
            "telephone_number": "760-684-8999",
            "fax_number": "760-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 HESPERIA RD STE A-D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957788",
            "telephone_number": "760-684-8999",
            "fax_number": "760-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LESLIE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86326542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, 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.