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ELITE NUTRITION SERVICES INC.
NPI 1477221307
Dietitian, Registered in Riverside, CA

Active since September 03, 2021
3610 CENTRAL AVE STE 400, RIVERSIDE, CA 92506(951) 330-4360(888) 978-4430 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2026, Feb 19, 2022, Sep 22, 2021 (3 updates tracked since 2021).

About Elite Nutrition Services Inc. NPPES

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

ELITE NUTRITION SERVICES INC. (NPI 1477221307) is a healthcare organization registered as a dietitian, registered in Riverside, California and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Diamond Bar and lists Kimberly Edwards, Director/president/treasurer/secret, as its authorized official.

NPPES Registry Identity

NPI1477221307
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameELITE NUTRITION SERVICES INC.
Location Address3610 CENTRAL AVE STE 400Riverside, CA 92506-5907
Mailing AddressPo Box 858Lake Elsinore, CA 92531-0858
Phone(951) 330-4360
Fax(888) 978-4430
Organization SubpartNo
Authorized OfficialKimberly EdwardsDirector/president/treasurer/secret · (951) 330-4360
Enumeration DateSeptember 3, 2021
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1477221307 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.
3610 CENTRAL AVE STE 400, Riverside, CA 92506
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Secondary Practice Location 1

Location 11370 Valley Vista Dr Ste 200Diamond Bar, CA 91765-3921 · Phone (951) 330-4360 · Fax (888) 978-4430

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)

Elite Nutrition Services Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Elite Nutrition Services Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kimberly Edwards, R.D.
Registered Dietitian or Nutrition Professional
NPI 1447691274
3610 CENTRAL AVE STE 400
Riverside, CA 92506
(951) 330-4360
Same address
Celeste Meza, MPH, RD
Registered Dietitian or Nutrition Professional
NPI 1902634686
3610 CENTRAL AVE STE 400
Riverside, CA 92506
(760) 550-5482
Same address

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 Elite Nutrition Services Inc.'s NPI number?

The NPI number for Elite Nutrition Services Inc. is 1477221307. It was assigned to this organization in the NPPES registry on September 3, 2021.

Where is Elite Nutrition Services Inc. located?

Elite Nutrition Services Inc. is located at 3610 Central Ave Ste 400, Riverside, CA 92506. The listed phone number is (951) 330-4360.

What is Elite Nutrition Services Inc.'s specialty?

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

Is Elite Nutrition Services Inc. enrolled in Medicare?

Yes. Elite Nutrition Services Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Nutrition Services Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Elite Nutrition Services 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elite Nutrition Services Inc. was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.