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PATRICIA BERRY RD,LD,CDE
NPI 1104214311
Dietitian, Registered in San Diego, CA

Active since December 23, 2014
12526 HIGH BLUFF DR STE 300, SAN DIEGO, CA 92130(512) 375-3210(858) 205-1430 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2024, Aug 1, 2022, Oct 3, 2018 and 2 more (5 updates tracked since 2016).

About Patricia Berry Rd,ld,cde NPPES

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

PATRICIA BERRY RD,LD,CDE (NPI 1104214311) is an individual dietitian, registered in San Diego, California, licensed in Texas (DT83283) and active in the NPI registry since December 2014. She maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1104214311
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NamePATRICIA BERRYCredential: RD,LD,CDE
Location Address12526 HIGH BLUFF DR STE 300San Diego, CA 92130-2067
Mailing Address12865 Caminito Del CantoDel Mar, CA 92014-3758 · (858) 472-2184
Phone(512) 375-3210
Fax(858) 205-1430
Sole ProprietorYes
Enumeration DateDecember 23, 2014
Last NPPES UpdateSeptember 27, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1104214311 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 TX · DT83283
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.
12526 HIGH BLUFF DR STE 300, San Diego, CA 92130
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Secondary Practice Location 1

Location 17500 Rialto Blvd, Bldg 1, Ste 250Austin, TX 78735 · Phone (512) 375-3210 · Fax (858) 205-1430

Other Identifiers 1

Other387305ZG8JTX · Medicare Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Berry Rd,ld,cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Patty Berry Rd, LLC
1,160 mi
Dietitian, Registered
3006 BEE CAVES RD STE D-208
Austin, TX 78746
  • Reassigned Medicare billing, Texas enrollment
NPI 1972055739 (512) 375-3210

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 12

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

HOMEWELL CA282
Home Health
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (858) 449-0071
BETH CORRICK MFT
Marriage & Family Therapist
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (858) 699-1497
ANISSA BELL MARRIAGE & FAMILY THERAPY, PROFESSIONAL CORPORATION
Counselor (Mental Health)
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (858) 400-4646
AMY TRENDEL RD
Dietitian, Registered
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (512) 375-3210
COLETTE M. COINER PT
Physical Therapist (Orthopedic)
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (888) 713-2220
MOBILEONEDOCS LLC
Nurse Practitioner (Family)
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (888) 709-8721
DR. DAPHNE LURIE PHD
Psychologist (Clinical)
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (858) 925-9028
HETAL B PATEL M.D.
Emergency Medicine
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (760) 655-3902

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 Patricia Berry's NPI number?

The NPI number for Patricia Berry is 1104214311. It was assigned to this individual provider in the NPPES registry on December 23, 2014.

Where is Patricia Berry located?

Patricia Berry practices at 12526 High Bluff Dr Ste 300, San Diego, CA 92130. The listed phone number is (512) 375-3210.

What is Patricia Berry's specialty?

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

Is Patricia Berry enrolled in Medicare?

Yes. Patricia Berry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patricia Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Berry reassigns Medicare benefits to Patty Berry Rd, LLC (Austin, TX). 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 Patricia Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Berry accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Patricia Berry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patricia Berry was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.