Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern California Permanente Medical Group

Organization Registered Dietitian · NPI 1063279651

Southern California Permanente Medical Group provides Registered Dietitian services in Riverside, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3951 Van Buren Blvd
Riverside, CA 92503-3620
Phone: (866) 862-4295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1063279651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Madonna Holbrook-Lowe — Department Administrator · (951) 233-0023
NPI enumeratedMarch 1, 2024
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 30, 2026
Mailing address3951 Van Buren Blvd, Riverside, CA 92503-3620

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