GRACE WEN
NPI 1770454282
Dietitian, Registered in Victorville, CA

Q: What is Grace Wen's NPI number?

The NPI number for Grace Wen is 1770454282. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Q: What is Grace Wen'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 Grace Wen was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 16, 2025

12640 HESPERIA RD STE D, VICTORVILLE, CA 92395(760) 684-4143(760) 684-8111 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Sep 16, 2025 (2 updates tracked since 2025).

On this page

About Grace Wen NPPES

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

GRACE WEN (NPI 1770454282) is an individual dietitian, registered in Victorville, California and active in the NPI registry since September 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1770454282

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameGRACE WEN

Location Address12640 HESPERIA RD STE DVictorville, CA 92395-7753

Mailing Address12640 Hesperia Rd Ste DVictorville, CA 92395-7753 · (760) 684-4143 · Fax (760) 684-8111

Phone(760) 684-4143

Fax(760) 684-8111

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 16, 2025

Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1770454282 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.

12640 HESPERIA RD STE D, Victorville, CA 92395

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Wen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486141249

PECOS Enrollment IDI20251015000669

Other Providers at the Same Location NPPES 15

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

KIA NICHELLE

Marriage & Family Therapist