Active NPI
Nutriwise Health LLC
- Registered Dietitian
- Poway, CA
National Provider Identifier
1174491120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Caetano, MS, RDN, CDN, LDN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
National Provider Directory
National Provider DirectoryLocations
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.