Individual provider Active NPI

Jenny Medina, RD

  • Registered Dietitian
  • Sanger, CA
National Provider Identifier
1154284701
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1057420 Issued in CA
Practice address
1533 7TH St Ste 107
Sanger, CA 93657-2490
Phone
(559) 578-8500
NPI assigned
Dec 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1057420 CA Primary

Addresses

Primary practice location

1533 7TH St Ste 107
Sanger, CA 93657-2490

Mailing address

755 N Peach Ave Ste A1
Clovis, CA 93611-7248
Phone (559) 578-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260115001857 CA Practitioner - Registered Dietitian Or Nutrition Professional 0648756098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
California University of Science and Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lindsay Dietetic Services IncorporatedGroup PAC ID 4385007657, 8 clinicians

Practice addresses (Care Compare)

1533 7TH St
Suite 107
Sanger, CA 93657-2490
Phone (559) 578-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1057420CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Dietetic Services Incorporated Dietitian, Registered CurrentSince Jan 25, 2025 Accepting new patients

Locations

755 N Peach Ave
Ste A1
Clovis, CA 93611
Phone (559) 321-7836

1533 7th St
Ste 107
Sanger, CA 93657
Phone (559) 578-8500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1154284701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N PEACH AVE STE A1",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117248",
            "telephone_number": "559-578-8500",
            "fax_number": "559-795-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 7TH ST STE 107",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572490",
            "telephone_number": "559-578-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JENNY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1057420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.