Coastal Cities Nutrition Group

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

COASTAL CITIES NUTRITION GROUP

Practice address

1302 Madera Rd Ste 2
Simi Valley, CA 93065-4019

Phone

(805) 404-8082

NPI assigned

Dec 19, 2018

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bonnie Jean Broek, RDNNPI 1376019943

Title

Owner

Phone

(805) 404-8082

Specialties & licenses 5

Addresses

Locations

Practitioners 1

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.

• Bonnie Jean Broek, RDN

  • Registered Dietitian
  • Simi Valley, CA
  • NPI 1376019943
  Authorized official Same address or phone

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1376015016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MADERA RD STE 2",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654019",
            "telephone_number": "805-404-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MADERA RD STE 2",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654019",
            "telephone_number": "805-404-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CITIES NUTRITION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "BROEK",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-404-8082",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Hinshaw M.D., Inc (Hinshaw Dermatology)
• Brian Charles Clements
• Sarah Clifford
• Clinicas del Camino Real Inc (Clinicas del Camino Real, Inc. Simi Valley Madera)
• Clinicas del Camino Real, Inc (Clinicas del Camino Real, Inc., East Simi Valley)
• Coastal Radiation Oncology Medical Group, Inc.
• Coastal Rheumatology Center Apc
• Randa L Cobey, DC
• Cochran Congregate Living, Inc.
• Kaitlyn Grace Cochran

• Registered Dietitian in Simi Valley, CA
• Providers in Simi Valley, 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 1, 2026; 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.