IMAGINE WELLNESS MEDICAL GROUP
NPI 1255203063
Dietitian, Registered in Redlands, CA

Q: What is Imagine Wellness Medical Group's NPI number?

The NPI number for Imagine Wellness Medical Group is 1255203063. It was assigned to this organization in the NPPES registry on September 22, 2025.

Q: What is Imagine Wellness Medical Group's specialty?

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

Active since September 22, 2025

12 NEVADA ST STE B, REDLANDS, CA 92373(909) 894-8084(909) 363-8731 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Imagine Wellness Medical Group NPPES

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

IMAGINE WELLNESS MEDICAL GROUP (NPI 1255203063) is a healthcare organization registered as a dietitian, registered in Redlands, California and active in the NPI registry since September 2025. The organization lists Patricia Ford, Owner, as its authorized official.

NPPES Registry Identity

NPI1255203063

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameIMAGINE WELLNESS MEDICAL GROUP

Location Address12 NEVADA ST STE BRedlands, CA 92373-4222

Mailing Address12 Nevada St Ste BRedlands, CA 92373-4222 · (909) 894-8084 · Fax (909) 363-8731

Phone(909) 894-8084

Fax(909) 363-8731

Organization SubpartNo

Authorized OfficialPatricia FordOwner · (909) 894-8084

Enumeration DateSeptember 22, 2025

NPPES CertifiedSeptember 21, 2025

✔ NPI 1255203063 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.

12 NEVADA ST STE B, Redlands, CA 92373

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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 5

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

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