TEMECULA DIETITIANS, INC.
NPI 1104495431
Dietitian, Registered in Murrieta, CA

Active since June 21, 2021
29970 TECHNOLOGY DR STE 118, MURRIETA, CA 92563(760) 716-1274 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, Jun 21, 2021 (2 updates tracked since 2021).

About Temecula Dietitians, Inc. NPPES

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

TEMECULA DIETITIANS, INC. (NPI 1104495431), doing business as Realistic Roots Counseling, is a healthcare organization registered as a dietitian, registered in Murrieta, California and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Philadelphia and lists Tianna Noelle Nilsen, Owner/dietitian, as its authorized official.

NPPES Registry Identity

NPI1104495431
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameTEMECULA DIETITIANS, INC.
Location Address29970 TECHNOLOGY DR STE 118Murrieta, CA 92563-2647
Mailing Address29970 Technology Dr Ste 118Murrieta, CA 92563-2647 · (951) 365-7193
Organization SubpartNo
Authorized OfficialTianna Noelle NilsenOwner/dietitian · (760) 716-1274
Enumeration DateJune 21, 2021
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1104495431 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.
29970 TECHNOLOGY DR STE 118, Murrieta, CA 92563

Other Names 1

Former Legal Business NameRealistic Roots Counseling

Secondary Practice Location 1

Location 1220 E Mermaid Ln Unit 189Philadelphia, PA 19118-3215 · Phone (760) 716-1274

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Temecula Dietitians, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Temecula Dietitians, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Registered Dietitian or Nutrition Professional
NPI 1376248849
29970 TECHNOLOGY DR STE 118
Murrieta, CA 92563
(508) 410-2628
Same address
Registered Dietitian or Nutrition Professional
NPI 1558895383
29970 TECHNOLOGY DR STE 118
Murrieta, CA 92563
(760) 716-1274
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1255186920
39755 MURRIETA HOT SPRINGS RD STE 110
Murrieta, CA 92563
(951) 696-4600
✔ Accepts Medicare1.6 mi
Registered Dietitian or Nutrition Professional
NPI 1710854229
2605 JEFFERSON ST APT D
Carlsbad, CA 92008
(562) 884-9033
✔ Accepts Medicare30 mi
Registered Dietitian or Nutrition Professional
NPI 1871914143
3720 YONGE ST UNIT 10
San Diego, CA 92106
(760) 452-0835
57 mi
Registered Dietitian or Nutrition Professional
NPI 1033857677
1635 N MARTEL AVE APT 218
Los Angeles, CA 90046
(570) 573-4164
79 mi

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

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 Temecula Dietitians, Inc.'s NPI number?

The NPI number for Temecula Dietitians, Inc. is 1104495431. It was assigned to this organization in the NPPES registry on June 21, 2021. The provider was formerly known as Realistic Roots Counseling.

Where is Temecula Dietitians, Inc. located?

Temecula Dietitians, Inc. is located at 29970 Technology Dr Ste 118, Murrieta, CA 92563. The listed phone number is (760) 716-1274.

What is Temecula Dietitians, Inc.'s specialty?

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

Is Temecula Dietitians, Inc. enrolled in Medicare?

Yes. Temecula Dietitians, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Temecula Dietitians, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Temecula Dietitians, Inc.. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Temecula Dietitians, Inc. was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.