Active NPI
The J. Moss Foundation
- Counselor
- San Diego, CA
National Provider Identifier
1013363522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- THE J. MOSS FOUNDATION
- Practice address
- 10089 Willow Creek Rd Ste 200
San Diego, CA 92131-1699 - Phone
- (619) 793-2010
- Fax
- (858) 408-1891
- NPI assigned
- May 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlayna Danielle Bolllinger
- Title
- Executive Director
- Phone
- (619) 793-2010
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | |||
| Community Health Registered Nurse | 163WC1500X | |||
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| Physician Assistant | 363A00000X | |||
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X |
Addresses
Primary practice location
10089 Willow Creek Rd Ste 200
San Diego, CA 92131-1699
Mailing address
10089 Willow Creek Rd Ste 200
San Diego, CA 92131-1699
Phone (619) 793-2010
Other names 1
- Skinny Gene Project
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180709001495 | CA | MDPP Supplier - in-Person MDPP Supplier | 4981950714 | Practice locations: Fallbrook, CA; San Diego, CA |
National Provider Directory
National Provider Directory- Tax ID family
- J Moss Foundation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Live Oak, TX
- NPI 1558530816
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- San Diego, CA
- NPI 1295232114
-
- Registered Dietitian
- Santa Ana, CA
- NPI 1851908321
Dietitian, Registered
-
- Clinical Social Worker
- Auburn, CA
- NPI 1093014888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746748800000",
"number": "1013363522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10089 WILLOW CREEK RD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311699",
"telephone_number": "619-793-2010",
"fax_number": "858-408-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10089 WILLOW CREEK RD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311699",
"telephone_number": "619-793-2010",
"fax_number": "858-408-1891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE J. MOSS FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-13",
"last_updated": "2025-05-09",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "BOLLLINGER",
"authorized_official_first_name": "MARLAYNA",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "619-793-2010"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SC1501X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Skinny Gene Project",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Skinny Gene Project",
"code": "3",
"type": "Doing Business As"
}
]
}
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- The Hilinski Ambulatory Surgery Center
- The Hospice of San Diego
- The Inn Spot Community Acupuncture & Stress Relief Lounge
- The Janz Corporation
- The JHC Corportation
- The Khachatryan Corporation, Licensed Professional Clinical Counselor
- The Kingdom Life Ministries Inc.
- The LGBT Community Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.