Elite Nutrition Services Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ELITE NUTRITION SERVICES INC.

Practice address

3610 Central Ave Ste 400
Riverside, CA 92506-5907

Phone

(951) 330-4360

Fax

(888) 978-4430

NPI assigned

Sep 3, 2021

Last updated

Mar 25, 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

Mrs. Kimberly Edwards, RDNNPI 1447691274

Title

Director/President/Treasurer/Secret

Phone

(951) 330-4360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Kimberly Camille Edwards, R.D.

  • Registered Dietitian
  • Riverside, CA
  • NPI 1447691274

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Celeste Meza, MPH, RD

  • Registered Dietitian
  • Riverside, CA
  • NPI 1902634686

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1477221307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925310858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 CENTRAL AVE STE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065907",
            "telephone_number": "951-330-4360",
            "fax_number": "888-978-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 Valley Vista Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917653921",
            "country_code": "US",
            "telephone_number": "951-330-4360",
            "fax_number": "888-978-4430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE NUTRITION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT/TREASURER/SECRET",
        "authorized_official_telephone_number": "951-330-4360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Elick, MS RD
• Enzo Elisio
• Elissa Gropen Dermatology, Inc.
• Elissa Gropen MD
• Elite Bariatric Surgery & Wellness PC
• Zoan Elizalde-Mancenido
• Alva M Elizalde
• Millicent Santos Elizalde, M.S., R.D.
• Judit Elizarraraz
• Alexis Elizondo

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

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