Andrea I Zajac, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

817352 Issued in CA

Practice address

11365 Mandrake PT
San Diego, CA 92131-3766

Phone

(808) 554-2811

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1144083775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11365 MANDRAKE PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313766",
            "telephone_number": "808-554-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11365 MANDRAKE PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313766",
            "telephone_number": "808-554-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJAC",
        "first_name": "ANDREA",
        "middle_name": "I",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-03-07",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "817352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Joseph Zahn, RN
• Sahrain Rizwan Zahoor, MD
• Zahra Sara Naderi DDS Inc
• Ali Zaidi, D.O.
• Erika Zaizar
• Cristiana Paris Zajac
• Jennifer Zajac, M.S.
• Kiersten Leigh Zajac
• Zak DDS Inc.
• Andrew Zakarian

• Registered Dietitian in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Dietitian in California

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

Verify at the official NPI Registry.