MELISSA CISNEROS HENDERSON M.S. AND RDN
NPI 1508670175
Dietitian, Registered in Camarillo, CA

Q: What is Melissa Henderson's NPI number?

The NPI number for Melissa Henderson is 1508670175. It was assigned to this individual provider in the NPPES registry on February 4, 2025.

Q: What is Melissa Henderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Henderson was last updated on August 13, 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.

Active since February 04, 2025Accepts Medicare Assignment

400 MOBIL AVE STE D9, CAMARILLO, CA 93010(805) 738-5700(805) 738-5701 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2025, Feb 4, 2025 (2 updates tracked since 2025).

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About Melissa Cisneros Henderson M.s. And Rdn NPPES

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

MELISSA CISNEROS HENDERSON M.S. AND RDN (NPI 1508670175) is an individual dietitian, registered in Camarillo, California, licensed in California (86446977) and active in the NPI registry since February 2025. She maintains a secondary practice location in Los Angeles and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508670175

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMELISSA CISNEROS HENDERSONCredential: M.S. AND RDN

Location Address400 MOBIL AVE STE D9Camarillo, CA 93010-6376

Mailing Address2222 S Marvin Ave Apt 205Los Angeles, CA 90016-1940 · (703) 855-9371

Phone(805) 738-5700

Fax(805) 738-5701

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 4, 2025

Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1508670175 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 · 86446977

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.

400 MOBIL AVE STE D9, Camarillo, CA 93010

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Secondary Practice Location 1

Location 12222 S Marvin Ave Apt 205Los Angeles, CA 90016-1940 · Phone (703) 855-9371

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Cisneros Henderson M.s. And Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274040340

PECOS Enrollment IDI20250724003831

Medicare Billing Reassignments

Medicare enrollment records show Melissa Henderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

360 Nutrition Consulting Inc

Same address

Dietitian, Registered

400 MOBIL AVE STE D9
Camarillo, CA 93010

Reassigned Medicare billing, California enrollment
10 clinicians in this Medicare group

NPI 1033629175 (805) 738-5700

Universal Community Health Center

45 mi

Federally Qualified Health Center (FQHC)

1021 W MARTIN LUTHER KING JR BLVD
Los Angeles, CA 90037

Reassigned Medicare billing, California enrollment
29 clinicians in this Medicare group

NPI 1295493310 (323) 233-3100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $62.32 – $185.36

Typical copayment $0.00 (range $15.58 – $46.34)

Most-billed visit code NA

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

360 NUTRITION CONSULTING INC

Dietitian, Registered