Individual provider Active NPI

Olivia Gabriella Meza, RD

  • Registered Dietitian
  • San Jacinto, CA
National Provider Identifier
1750035689
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103
Phone
(951) 330-3100
Fax
(951) 350-1050
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X CA Primary

Addresses

Primary practice location

1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103

Mailing address

1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103
Phone (951) 330-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314001680 CA Practitioner - Registered Dietitian Or Nutrition Professional 3678968476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moeller-Bertram Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Mar 1, 2022 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Mar 1, 2022 Accepting new patients

Locations

1011 E Devonshire Ave
Ste 101
Hemet, CA 92543
Phone (951) 658-7284

1011 E Devonshire Ave
Hemet, CA 92543
Phone (714) 848-1133

3857 Birch St
Newport Beach, CA 92660
Phone (949) 783-3600

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315

7065 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 476-0115

1695 S San Jacinto Ave
Ste Adf
San Jacinto, CA 92583
Phone (951) 330-3100

1695 S San Jacinto Ave
Ste A
San Jacinto, CA 92583
Phone (951) 330-3100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1750035689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE A-D&F",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-330-3100",
            "fax_number": "951-350-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE A-D&F",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-330-3100",
            "fax_number": "951-350-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "OLIVIA",
        "middle_name": "GABRIELLA",
        "name_prefix": "Miss",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.