GRACE KIM MS, RD
NPI 1417415662
Dietitian, Registered in San Bruno, CA

Active since March 06, 2019
2120 EVERGREEN DR, SAN BRUNO, CA 94066(650) 808-0652 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grace Kim Ms, Rd NPPES

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

GRACE KIM MS, RD (NPI 1417415662) is an individual dietitian, registered in San Bruno, California, licensed in California (86094017) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1417415662
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameGRACE KIMCredential: MS, RD
Location Address2120 EVERGREEN DRSan Bruno, CA 94066-1828
Mailing Address2120 Evergreen DrSan Bruno, CA 94066-1828 · (650) 808-0652
Sole ProprietorNo
Enumeration DateMarch 6, 2019
NPI 1417415662 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 CA · 86094017
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.

2120 EVERGREEN DR, San Bruno, CA 94066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417415662, enumerated as an "individual" on March 06, 2019.

The provider is located at 2120 EVERGREEN DR SAN BRUNO, CA 94066 and the phone number is (650) 808-0652.

Dietitian, Registered with taxonomy code 133V00000X.