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TRACI ROBERTS RD
NPI 1003385691
Dietitian, Registered in San Diego, CA

Active since November 13, 2018
200 W ARBOR DR, SAN DIEGO, CA 92103(858) 657-7000 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2018, Dec 3, 2018, Nov 13, 2018 (3 updates tracked since 2018).

About Traci Roberts Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI ROBERTS RD (NPI 1003385691) is an individual dietitian, registered in San Diego, California, licensed in California (86084895) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1003385691
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTRACI ROBERTSCredential: RD
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressP.o.box 232410San Diego, CA 92193-2410 · (858) 822-6100
Phone(858) 657-7000
Sole ProprietorNo
Enumeration DateNovember 13, 2018
Last NPPES UpdateDecember 28, 20183 updates tracked since enumeration
✔ NPI 1003385691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86084895
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
200 W ARBOR DR, San Diego, CA 92103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Traci Roberts Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Traci Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of California - Ucsd Medical Group
Same address
Gastroenterology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The University Of California
  • 1,051 clinicians in this Medicare group
NPI 1336267137 (800) 926-8273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Roberts's NPI number?

The NPI number for Traci Roberts is 1003385691. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Where is Traci Roberts located?

Traci Roberts practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (858) 657-7000.

What is Traci Roberts's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Traci Roberts enrolled in Medicare?

Yes. Traci Roberts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Traci Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Traci Roberts reassigns Medicare benefits to Regents Of The University Of California - Ucsd Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Traci Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Traci Roberts was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.