MEDICARE: NICHOLAS JOHN BOGDIS RDN

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	86211240	CA

General Provider Information

NPI Number	:	1528848355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS JOHN BOGDIS RDN

Provider Business Mailing Address
First Line	:	PO BOX 721497
Second Line	:
City	:	PINON HILLS
State	:	CA
Zip	:	92372-1497
Country	:	US
Telephone Number	:	909-698-0038
Fax Number	:

Provider Business Practice Location Address
First Line	:	10633 CRYSTAL AIRE RD.
Second Line	:
City	:	PINON HILLS
State	:	CA
Zip	:	92372
Country	:	US
Telephone Number	:	909-698-0038
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	09/29/2023

Similar Medicare Providers

1265057012 — HEIDI STOUT RDN
Practice Location Address:

9948 OASIS RD
PINON HILLS, CA
92372

Practice Phone: 760-912-9371
Practice Fax:

1316689946 — JENNIFER ANN MARTIN
Practice Location Address:

1427 ARCADIA ROAD
PINON HILLS, CA
92372

Practice Phone: 760-964-8156
Practice Fax:

1578249439 — TIFFANY BEATE VALLENDER RN
Practice Location Address:

1830 CALAVERAS RD #720360
PINON HILLS, CA
92372

Practice Phone: 734-474-2704
Practice Fax:

1821890252 — ABBY STEPHENS
Practice Location Address:

1885 SEVILLE PL #144
PINON HILLS, CA
92372

Practice Phone: 909-587-7819
Practice Fax:

1588450019 — BELOVED RECOVERY SERVICES
Practice Location Address:

1581 LOCUST RD
PINON HILLS, CA
92372-9445

Practice Phone: 760-285-4188
Practice Fax:

1922057827 — PINON HILLS OPTICAL INC
Practice Location Address:

2300 E 30TH ST , STE 105
FARMINGTON, NM
87401-8990

Practice Phone: 505-325-4298
Practice Fax: 505-326-4690

Directions to “ NICHOLAS JOHN BOGDIS RDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.