Active NPI
Nicole Pimentel Palomino, MS, RD
- Registered Dietitian
- La Jolla, CA
National Provider Identifier
1003516576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86169439
- Practice address
- 9300 Campus Point Dr
La Jolla, CA 92037-1300 - Phone
- (800) 926-8273
- NPI assigned
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | CA | ||
| Registered Dietitian | 133V00000X | 86169439 | CA | Primary |
Addresses
Primary practice location
9300 Campus Point Dr
La Jolla, CA 92037-1300
Mailing address
File 57326
Los Angeles, CA 90074-0001
Other practice location 1
12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811 ext. 12924
Other practice location 2
4168 Front St
San Diego, CA 92103-2030
Phone (800) 926-8273
Other names 1
- Nicole Pimentel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86169439 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1003516576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 CAMPUS POINT DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371300",
"telephone_number": "800-926-8273"
}
],
"practiceLocations": [
{
"address_1": "12401 Washington Blvd",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906021006",
"country_code": "US",
"telephone_number": "562-698-0811 x12924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4168 Front St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032030",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALOMINO",
"first_name": "NICOLE",
"middle_name": "PIMENTEL",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86169439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "PIMENTEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.