Active NPI
Sophie Grace Rodrigues, RD
- Registered Dietitian
- Riverside, CA
National Provider Identifier
1548987498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86114517
- Practice address
- 5475 Canyon Crest Dr Apt 34
Riverside, CA 92507-6436 - Phone
- (661) 609-0109
- NPI assigned
- Oct 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86114517 | Primary |
Addresses
Primary practice location
5475 Canyon Crest Dr Apt 34
Riverside, CA 92507-6436
Mailing address
4210 Riverwalk Pkwy Ste 400
Riverside, CA 92505-3313
Phone (951) 358-5311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
47923 Oasis St
Ste 1
Indio, CA 92201
Phone (760) 863-8283
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1386758225
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1548987498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 RIVERWALK PKWY STE 400",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053313",
"telephone_number": "951-358-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 CANYON CREST DR APT 34",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925076436",
"telephone_number": "661-609-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "SOPHIE",
"middle_name": "GRACE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86114517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.