Active NPI
California Clinical Nutrition Services LLC
- Registered Dietitian
- San Dimas, CA
National Provider Identifier
1871431312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- CALIFORNIA CLINICAL NUTRITION SERVICES LLC
- Practice address
- 1152 Via Verde
San Dimas, CA 91773-4401 - Phone
- (714) 485-8398
- NPI assigned
- Mar 24, 2026
- Last updated
- Oct 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Jin
- Title
- Owner
- Phone
- (714) 485-8398
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1152 Via Verde
San Dimas, CA 91773-4401
Mailing address
1309 W Mission Blvd Unit 50
Ontario, CA 91762-6845
Phone (714) 485-8398
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791676800000",
"number": "1871431312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 W MISSION BLVD UNIT 50",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917626845",
"telephone_number": "714-485-8398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1152 VIA VERDE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917734401",
"telephone_number": "714-485-8398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA CLINICAL NUTRITION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-10-11",
"certification_date": "2026-10-11",
"status": "A",
"authorized_official_last_name": "JIN",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-485-8398"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.