SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1063279651
Dietitian, Registered in Riverside, CA

Q: What is Southern California Permanente Medical Group's specialty?

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

Active since March 01, 2024

3951 VAN BUREN BLVD, RIVERSIDE, CA 92503(866) 862-4295 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern California Permanente Medical Group NPPES

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

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI 1063279651) is a healthcare organization registered as a dietitian, registered in Riverside, California and active in the NPI registry since March 2024. The organization lists Madonna Holbrook-lowe, Department Administrator, as its authorized official.

NPPES Registry Identity

NPI1063279651

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Location Address3951 VAN BUREN BLVDRiverside, CA 92503-3620

Mailing Address3951 Van Buren BlvdRiverside, CA 92503-3620 · (866) 883-0119

Phone(866) 862-4295

Organization SubpartNo

Authorized OfficialMadonna Holbrook-loweDepartment Administrator · (951) 233-0023

Enumeration DateMarch 1, 2024

NPPES CertifiedFebruary 29, 2024

✔ NPI 1063279651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

3951 VAN BUREN BLVD, Riverside, CA 92503

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MELANIE HONEYWELL MS, RD, CDE

Clinic/Center (Health Service)