Mayble L Jiang, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86100513 Issued in CA

Practice address

1650 S Amphlett Blvd Ste 115
San Mateo, CA 94402-2514

Phone

(650) 319-8654

NPI assigned

May 31, 2019

Last updated

Dec 10, 2019By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Enara Health, Inc

  • Health Service Clinic/Center
  • San Mateo, CA
  • NPI 1144871682
  NPD
• Enara Health Group, P.C.

  dba Enara Health Group

  • Obesity Medicine (Internal Medicine) Physician
  • San Mateo, CA
  • NPI 1063817823

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1215595632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S AMPHLETT BLVD STE 115",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022514",
            "telephone_number": "650-319-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S AMPHLETT BLVD STE 115",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022514",
            "telephone_number": "650-319-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "MAYBLE",
        "middle_name": "L",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86100513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsi Jerome
• Jewish Family and Children's Services
• Jeyabuvana Jeyaraj, B.SC B.ED
• Pryashna D Ji
• Jacky Jian, PHARMD
• Stephanie Nicole Jillson
• Alissa Jimenez
• Carolina Elizabeth Jimenez
• Lupita Jimenez
• Riya Jit

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.