Elite Nutrition Services Inc.
NPI 1477221307 · Registered Dietitian · Riverside, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Nutrition Services Inc. is a Registered Dietitian organization in Riverside, CA (NPI 1477221307).
Provider details
- NPI number
- 1477221307
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Edwards, Director/President/Treasurer/Secret(951) 330-4360
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
4 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)
- 1370 Valley Vista Dr Ste 200Diamond Bar, CA 91765-3921Phone: (951) 330-4360Fax: (888) 978-4430
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Frequently asked questions
- What is Elite Nutrition Services Inc.'s NPI number?
- Elite Nutrition Services Inc.'s National Provider Identifier (NPI) is 1477221307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Nutrition Services Inc.?
- Elite Nutrition Services Inc. is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Elite Nutrition Services Inc. located?
- Elite Nutrition Services Inc.'s practice location on file with NPPES is 3610 Central Ave Ste 400, Riverside, CA 92506-5907.
- What is Elite Nutrition Services Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Elite Nutrition Services Inc. is (951) 330-4360.
- Does Elite Nutrition Services Inc. accept Medicare?
- Elite Nutrition Services Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elite Nutrition Services Inc.?
- The authorized official listed on Elite Nutrition Services Inc.'s NPPES record is Kimberly Edwards, Director/President/Treasurer/Secret. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Nutrition Services Inc.'s NPI active?
- Yes — Elite Nutrition Services Inc.'s NPI (1477221307) is active in the NPPES registry as of the last update on 2026-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.