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

Melissa Cisneros Henderson, MSANDRDN

Individual provider Registered Dietitian · NPI 1508670175

Melissa Cisneros Henderson, MSANDRDN is a Registered Dietitian OR Nutrition Professional in Camarillo, California. Qualified in 2024, 2 years ago. Practices with 360 Nutrition Consulting LLC, an 8-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

400 Mobil Ave Ste D9
Camarillo, CA 93010-6376
Phone: (805) 738-5700
Fax: (805) 738-5701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2222 S Marvin Ave Apt 205, Los Angeles, CA 90016-1940 — (703) 855-9371

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86446977 (CA)

Record details

NPI number1508670175
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSANDRDN
Sole proprietorNo
NPI enumeratedFebruary 4, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice 360 Nutrition Consulting Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Camarillo