Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsea Johanna Palace, RD

Individual provider Registered Dietitian · NPI 1376906594

Kelsea Johanna Palace, RD is a Registered Dietitian OR Nutrition Professional in Camarillo, California. Qualified in 2009, 17 years ago. Practices with 360 Nutrition Consulting LLC, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2016
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

400 Mobil Ave Ste D9
Camarillo, CA 93010-6376
Phone: (805) 444-5919
Fax: (805) 830-1735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1036705 (CA)

Record details

NPI number1376906594
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedApril 4, 2016
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice 360 Nutrition Consulting Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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