Active NPI
Johanna M Dong, M.A., R.D.
- Nutrition Education Nutritionist
- Belmont, CA
National Provider Identifier
1013141100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 931795
- Practice address
- 1200 Sixth Ave
Suite 201
Belmont, CA 94002-3856 - Phone
- (650) 455-9242
- NPI assigned
- May 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 931795 | CA | Primary |
Addresses
Primary practice location
1200 Sixth Ave
Suite 201
Belmont, CA 94002-3856
Mailing address
313 Estrella Way
San Mateo, CA 94403-2940
Phone (650) 703-6090
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931795 | CA | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1013141100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 ESTRELLA WAY",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032940",
"telephone_number": "650-703-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SIXTH AVE",
"address_2": "SUITE 201",
"city": "BELMONT",
"state": "CA",
"postal_code": "940023856",
"telephone_number": "650-455-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONG",
"first_name": "JOHANNA",
"middle_name": "M",
"credential": "M.A., R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "931795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.