Daria Jacob, RDN
Individual provider Active NPI Registered Dietitian · Hollywood, CA
NPI 1194486746 · NPPES record last updated May 20, 2023
Key facts
- NPI
- 1194486746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 1763 N Gower St
Hollywood, CA 90028-5423 - Phone
- (562) 424-4055
- NPI assigned
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnicare Medical Group, Inc | Past |
Accepting new patients | |
| Nutrition As Therapy Inc. | Dietitian, Registered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
1763 N Gower St
Hollywood, CA 90028-5423
Mailing address
42 Southgate Dr
Annandale, NJ 08801-3386
Other providers in Hollywood, CA
- Hop Trung Nguyen, D.D.S.
- Nathan Horner
- Benjamin Island
- Donald Ray Jack
- Ronnie Jerome Jackson
- Jennifer Jara
- Joel Frederick Fine, MD a Med
- James Kristoff Johansen
- JQ Billing Solutions, LLC
- Kaiser Permanente
All providers in Hollywood, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.