Sabrina Elly Grovom, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86292044 Issued in MA

Practice address

2329 Moonlight GLN
Escondido, CA 92026-3845

Phone

(760) 975-5859

NPI assigned

May 30, 2023

Sex

Female

Sole proprietor

Yes

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.

• Move to Wellness Inc

  • Registered Dietitian
  • Los Angeles, CA
  • NPI 1265183479

  Dietitian, Registered

  NPD (past)
• Bradley Management LLC

  • Registered Dietitian
  • Edina, MN
  • NPI 1376213934

  Dietitian, Registered

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2023.

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1760175434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 MOONLIGHT GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263845",
            "telephone_number": "760-975-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 MOONLIGHT GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263845",
            "telephone_number": "760-975-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVOM",
        "first_name": "SABRINA",
        "middle_name": "ELLY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "86292044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madyson Shea Griffiths
• Brandon Grigg
• Steven Thomas Griggs, PH.D.
• George John Grim Jr., DDS
• Steven Groff Jr.
• Growth Mindset ABA, LLC
• Kaloyan Grozdev, PT
• Lucina Guandulain
• Agnes Guanzon, MSN, RN
• Raquel Evangelina Guardado-Soto, PH.D.

• All providers in Escondido, CA
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.