MEDICARE: NUTRITION BY NADIA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1164352225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUTRITION BY NADIA, LLC

Provider Business Mailing Address
First Line	:	1637 WILSON AVE
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-1828
Country	:	US
Telephone Number	:	949-234-8444
Fax Number	:

Provider Business Practice Location Address
First Line	:	1637 WILSON AVE
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-1828
Country	:	US
Telephone Number	:	949-234-8444
Fax Number	:

Authorized Official
Title or Position	:	CEO, REGISTERED DIETITIAN
Name	:	NADIA ALI
Credential	:	RDN, MS
Telephone Number	:	949-234-8444

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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