NPIMap

Organization Active NPI

Omega Health and Nutrition LLC

Doing business as The Organic Acid Clinic

  • Nutritionist
  • Jacksonville, FL
National Provider Identifier
1134619208
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
OMEGA HEALTH AND NUTRITION LLC
Doing business as
The Organic Acid Clinic
Practice address
10240 San Jose Blvd
Jacksonville, FL 32257-6203
Phone
(904) 551-1919
Fax
(904) 306-7839
NPI assigned
May 15, 2018
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica Carolina Medina-Dobbs, LDNNPI 1598255655
Title
Dietician-Nutritionist
Phone
(904) 413-3360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

10240 San Jose Blvd
Jacksonville, FL 32257-6203

Mailing address

700 N Indigo Ter
Saint Johns, FL 32259-4465
Phone (904) 413-3360

Other practice location 1

700 N Indigo Ter
Saint Johns, FL 32259-4465
Phone (904) 413-3360

Other names 2

  • The Organic Acid Clinic Doing business as
  • OMEGA HEALTH AND NUTRITION Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201022001102 FL Part B Supplier - Clinic/Group Practice 2769802255 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL; Saint Johns, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1134619208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N INDIGO TER",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594465",
            "telephone_number": "904-413-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576203",
            "telephone_number": "904-551-1919",
            "fax_number": "904-306-7839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N Indigo Ter",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322594465",
            "country_code": "US",
            "telephone_number": "904-413-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OMEGA HEALTH AND NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "MEDINA-DOBBS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "DIETICIAN-NUTRITIONIST",
        "authorized_official_telephone_number": "904-413-3360",
        "authorized_official_credential": "LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Organic Acid Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OMEGA HEALTH AND NUTRITION",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "OMEGA HEALTH AND NUTRITION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.

Verify at the official NPI Registry.