NPIMap

Organization Active NPI

Nudj Health, Inc.

  • Social Worker
  • Rancho Cucamonga, CA
National Provider Identifier
1184455586
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
NUDJ HEALTH, INC.
Practice address
5814 Timbermist PL
Rancho Cucamonga, CA 91737-2940
Phone
(833) 411-6835
NPI assigned
Aug 8, 2024
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Earl Bray
Title
Cfo
Phone
(626) 261-1727

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Cardiopulmonary Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251C2600X
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X

Addresses

Primary practice location

5814 Timbermist PL
Rancho Cucamonga, CA 91737-2940

Mailing address

1250 S Capital of Texas Hwy Ste 400
West Lake Hills, TX 78746-6446
Phone (833) 411-6835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250321001315 CA Part B Supplier - Clinic/Group Practice 8325560139 Receives reassigned benefits from 1 practitioner
Practice locations: La Jolla, CA

National Provider Directory

National Provider Directory

Locations

2223 Avenida de la Playa
Ste 101
La Jolla, CA 92037

Practitioners & affiliated clinicians

Practitioners 7

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": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1184455586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CAPITAL OF TEXAS HWY STE 400",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466446",
            "telephone_number": "833-411-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 TIMBERMIST PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372940",
            "telephone_number": "833-411-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUDJ HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-261-1727"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.