Patricia Ann Ford, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1005719 Issued in CA

Practice address

12 Nevada St Ste B
Redlands, CA 92373-4222

Phone

(909) 894-8084

NPI assigned

Jul 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Imagine Wellness Medical Group

  • Registered Dietitian
  • Redlands, CA
  • NPI 1255203063

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1659636892",
    "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": {
        "last_name": "FORD",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1005719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Brian Flores, MSW
• Victoria Nicole Flores, M.D.
• Alexia Bree Fogle
• Phillip Fokas
• Alyson C Foote, R.D.
• Ted Andrew Ford, COTA
• Emani Foreman
• Sigrid M Formantes, MD
• Tal Foster, RD
• Alan Fou

• 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 20, 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.