Imagine Wellness Health Group

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

IMAGINE WELLNESS HEALTH GROUP

Practice address

12 Nevada St Ste B
Redlands, CA 92373-4222

Phone

(909) 894-8084

NPI assigned

Aug 13, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Ann Ford, DRPH, MPH CEDRD

Title

Ceo

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 Medical Group

  • Registered Dietitian
  • Redlands, CA
  • NPI 1255203063
  NPD tax ID

Locations

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1497670624",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE WELLNESS HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-894-8084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH, MPH CEDRD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Aug 13, 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.