Growingpaths

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

710410 Issued in IL

Legal business name

GROWINGPATHS

Practice address

782 Longfellow Dr
Fremont, CA 94539-6310

Phone

(510) 557-3710

Fax

(510) 657-7842

NPI assigned

Nov 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jee-in Mao, PH.D., R.D,NPI 1629229653

Title

Owner

Phone

(510) 557-3710

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jee-in Mao

  • Registered Dietitian
  • Fremont, CA
  • NPI 1629229653

  Nutritionist

  NPD (past) Authorized official

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

{
    "created_epoch": "1227744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227744000000",
    "number": "1255586608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3354",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945390335",
            "telephone_number": "510-557-3710",
            "fax_number": "510-657-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 LONGFELLOW DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396310",
            "telephone_number": "510-557-3710",
            "fax_number": "510-657-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWINGPATHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-27",
        "last_updated": "2008-11-27",
        "status": "A",
        "authorized_official_last_name": "MAO",
        "authorized_official_first_name": "JEE-IN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-557-3710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., R.D,"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "710410",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "IL",
            "license": "710410",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IL",
            "license": "710410",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "710410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Griffin
• Tatevik Grigoryan
• Raymond Grimm, PH.D.
• James Michael Gronendyke, PH.D.
• Wynn Lindahl Grotegut
• Tisa Grumm, LCSW
• Clarissa Grun, C.N.A, H.H.A
• Tatiana Grzeszkiewicz, M.D., PH.D.
• Youzi Guan
• Ashley Kate Barrientos Guanzon

• Registered Dietitian in Fremont, CA
• Providers in Fremont, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2008; 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.