Betty Licciardo, RD
NPI 1043265622 · Registered Dietitian · Pomona, CA
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Betty Licciardo, RD is a Registered Dietitian provider in Pomona, CA (NPI 1043265622).
Provider details
- NPI number
- 1043265622
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 718614
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1915 Ervilla Ave.Chaparral Medical Group IncPomona, CA 91767-3008Phone: (909) 469-1823Fax: (909) 469-1827
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Frequently asked questions
- What is Betty Licciardo's NPI number?
- Betty Licciardo's National Provider Identifier (NPI) is 1043265622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Betty Licciardo's specialty?
- Betty Licciardo is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Betty Licciardo located?
- Betty Licciardo's practice location on file with NPPES is 1904 N Orange Grove Ave, Pomona, CA 91767-3008.
- What is Betty Licciardo's phone number?
- The practice phone number listed in the NPPES registry for Betty Licciardo is (909) 469-1823.
- Does Betty Licciardo accept Medicare?
- Betty Licciardo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Betty Licciardo's NPI active?
- Yes — Betty Licciardo's NPI (1043265622) is active in the NPPES registry as of the last update on 2021-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.