Active NPI
Rachelle Bocalbos, R.D
- Registered Dietitian
- Ontario, CA
National Provider Identifier
1972819159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01041125
- Practice address
- 4062 S Yarrow Paseo
Ontario, CA 91761-0668 - Phone
- (310) 347-9763
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 01041125 | CA | Primary |
Addresses
Primary practice location
4062 S Yarrow Paseo
Ontario, CA 91761-0668
Mailing address
4062 S Yarrow Paseo
Ontario, CA 91761-0668
Phone (310) 347-9763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01041125 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1972819159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4062 S YARROW PASEO",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917610668",
"telephone_number": "310-347-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4062 S YARROW PASEO",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917610668",
"telephone_number": "310-347-9763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCALBOS",
"first_name": "RACHELLE",
"credential": "R.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "01041125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.