Imagine Wellness Medical Group

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

IMAGINE WELLNESS MEDICAL GROUP

Practice address

12 Nevada St Ste B
Redlands, CA 92373-4222

Phone

(909) 894-8084

Fax

(909) 363-8731

NPI assigned

Sep 22, 2025

Organization subpart

No

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

Authorized official

Name

Patricia Ford, RD (CEDRD), DRPHNPI 1659636892

Title

Owner

Phone

(909) 894-8084

Specialties & licenses 1

Addresses

Tax ID family

Imagine Wellness Health Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imagine Wellness Health Group

  • Registered Dietitian
  • Redlands, CA
  • NPI 1497670624
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Ann Ford, R.D.

  • Registered Dietitian
  • Redlands, CA
  • NPI 1659636892

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1255203063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEVADA ST STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734222",
            "telephone_number": "909-894-8084",
            "fax_number": "909-363-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEVADA ST STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734222",
            "telephone_number": "909-894-8084",
            "fax_number": "909-363-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE WELLNESS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-894-8084",
        "authorized_official_credential": "RD (CEDRD), DRPH"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irel Idrisalman, SLP
• Amarachi Chinwendu Ihemedu
• Magnus C Ihemedu
• Christina Illencik, LMFT
• Imagine Wellness Health Group
• Michelle Imperio, MD
• In Your Best Interest Medical Clinic, Inc.
• Independence Assistance, Inc.
• Zoe Quinn Ingelse, AMFT
• Wendy Ingram, LCSW

• Registered Dietitian in Redlands, CA
• Providers in Redlands, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.