Danielle Rose Gaffen, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86093953

Practice address

4116 Morning Star CT
La Mesa, CA 91941-7228

Phone

(619) 985-5656

NPI assigned

May 10, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Telehealth Specialty Medical Group

  • Emergency Medicine Physician
  • Roseville, CA
  • NPI 1326338237
  Medicare reassignment

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1154905727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 MORNING STAR CT",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417228",
            "telephone_number": "619-985-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 MORNING STAR CT",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417228",
            "telephone_number": "619-985-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFEN",
        "first_name": "DANIELLE",
        "middle_name": "ROSE",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86093953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86093953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Furukawa, MA, CCC-SLP
• Eda Fushman, LMFT
• G O M G a Medical Partnership
• Lisa Lew Gabhart, M.D.
• Katherine Gackstetter
• Daniella Patricia Galindo
• Thomas Joon Gallagher
• Gallo Michels Professional Dental Corp
• Xavier Gamez
• Krauz K Ganadjian, MD

• Registered Dietitian in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.