Jana Kristin San Jose Dionisio

Individual provider Active NPI Health & Wellness Coach · Vandenberg Afb, CA

NPI 1023699808 · NPPES record last updated Aug 13, 2026

Key facts

NPI
1023699808
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
Practice address
1145 Mountain View Blvd
Vandenberg Afb, CA 93437-1158
Phone
(805) 742-2700
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Yes
Community Health Worker 172V00000X

Addresses

Primary practice location

1145 Mountain View Blvd
Vandenberg Afb, CA 93437-1158

Mailing address

1145 Mountain View Blvd
Vandenberg Afb, CA 93437-1158
Phone (805) 742-2700

Other providers in Vandenberg Afb, CA

All providers in Vandenberg Afb, CA · Health & Wellness Coach in California

Sources for this page

Verify at the official NPI Registry.