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BETTY LICCIARDO RD
NPI 1043265622
Dietitian, Registered in Pomona, CA

Active since May 23, 2006
1904 N ORANGE GROVE AVE, POMONA, CA 91767(909) 469-1823(909) 469-1827 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Betty Licciardo Rd NPPES

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

BETTY LICCIARDO RD (NPI 1043265622) is an individual dietitian, registered in Pomona, California, licensed in (718614) and active in the NPI registry since May 2006. She maintains a secondary practice location in Pomona.

NPPES Registry Identity

NPI1043265622
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBETTY LICCIARDOCredential: RD
Location Address1904 N ORANGE GROVE AVEPomona, CA 91767-3008
Mailing Address840 Towne Center Drive, Chaparral Medical Group IncPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1573
Phone(909) 469-1823
Fax(909) 469-1827
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 20, 2021
NPPES CertifiedSeptember 20, 2021
✔ NPI 1043265622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 718614
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.
1904 N ORANGE GROVE AVE, Pomona, CA 91767
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Other Names 1

Former Name (1)Betty Slesinger

Secondary Practice Location 1

Location 11915 Ervilla Ave., Chaparral Medical Group IncPomona, CA 91767-3008 · Phone (909) 469-1823 · Fax (909) 469-1827

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%21 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

INLAND VALLEY DISEASE MANAGEMENT CLINIC
Dietitian, Registered (Nutrition, Metabolic)
1904 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 469-1823
CHAPARRAL MEDICAL GROUP INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1904 N ORANGE GROVE AVE, CHAPARRAL MEDICAL GROUP
POMONA, CA 91767
Los Angeles County (909) 469-1823
SONIA Y TOVAR FNP-C, MSM
Nurse Practitioner
1904 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 623-7799
DARYOOSH VALAMANESH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1904 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 469-1823
RITA KAMAL PRADHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1904 N ORANGE GROVE AVE, CHAPARRAL MEDICAL GROUP
POMONA, CA 91767
Los Angeles County (909) 469-1823
CHAPARRAL SPECIALTY MEDICAL GROUP, INC.
Internal Medicine (Cardiovascular Disease)
1904 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 469-1823
JAFFAR ABBAS TREMAZI MD
Internal Medicine (Rheumatology)
1904 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 469-1823
SONIA Y TOVAR PROFESSIONAL CORPORATION NURSING
Nurse Practitioner (Family)
1904 N ORANGE GROVE AVE
POMONA, CA 91767
Los Angeles County (909) 623-7799

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 Betty Licciardo's NPI number?

The NPI number for Betty Licciardo is 1043265622. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Betty Slesinger.

Where is Betty Licciardo located?

Betty Licciardo practices at 1904 N Orange Grove Ave, Pomona, CA 91767. The listed phone number is (909) 469-1823.

What is Betty Licciardo's specialty?

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

When was this NPI record last updated?

The NPPES record for Betty Licciardo was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.