Organization Active NPI

Nutriwise Health LLC

  • Registered Dietitian
  • Poway, CA
National Provider Identifier
1174491120
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRIWISE HEALTH LLC
Practice address
15525 Pomerado Rd Ste C1
Poway, CA 92064-2425
Phone
(619) 537-9777
NPI assigned
Oct 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Paula Caetano, MS, RDN, CDN, LDNNPI 1861099970
Title
Registered Dietitian & Founder
Phone
(203) 214-7922

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

15525 Pomerado Rd Ste C1
Poway, CA 92064-2425

Mailing address

1880 Camino de la Reina # 1100
San Diego, CA 92108-1539
Phone (615) 537-9777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260417003007 CA Part B Supplier - Clinic/Group Practice 9739655655 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

1880 Camino de la Reina
San Diego, CA 92108
Phone (619) 567-0221

Practitioners & affiliated clinicians

Practitioners 1

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": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1174491120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 CAMINO DE LA REINA # 1100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081539",
            "telephone_number": "615-537-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD STE C1",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642425",
            "telephone_number": "619-537-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIWISE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "CAETANO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN & FOUNDER",
        "authorized_official_telephone_number": "203-214-7922",
        "authorized_official_credential": "MS, RDN, CDN, LDN"
    },
    "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 Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.