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GRACE WEN
NPI 1770454282
Dietitian, Registered in Victorville, CA

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: October 25, 2026.

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

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
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Medicare Participation & PECOS CMS

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

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

Medicare Billing Reassignment

Medicare enrollment records show Grace Wen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tobias Moeller-Bertram MD Corporation
70 mi
Pain Medicine
36101 BOB HOPE DR STE A
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1922440684 (760) 321-1315

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

Other Providers at the Same Location NPPES 14

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

KIA NICHELLE
Marriage & Family Therapist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
THY MINH PHAM RDN
Dietitian, Registered
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
VICKIE R ALEXANDER FNP-BC
Nurse Practitioner (Family)
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
EMILY TRUONG DC
Chiropractor
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
CLAUDIA VILLIERME M.ED., M.F.T.
Marriage & Family Therapist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
DR. JAE SEOG PARK
Acupuncturist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
LEXIE LUKER DC
Chiropractor
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
TOBIAS MOELLER-BERTRAM MD CORPORATION
Durable Medical Equipment & Medical Supplies
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143

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 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.

Where is Grace Wen located?

Grace Wen practices at 12640 Hesperia Rd Ste D, Victorville, CA 92395. The listed phone number is (760) 684-4143.

What is Grace Wen's specialty?

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

Is Grace Wen enrolled in Medicare?

Yes. Grace Wen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grace Wen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Wen reassigns Medicare benefits to Tobias Moeller-Bertram MD Corporation (Rancho Mirage, CA). The 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 Grace Wen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 7 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.