Active NPI
Skylar Nelson
- Registered Dietitian
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1025528
- Practice address
- 9850 Genesee Ave
Suite 730
La Jolla, CA 92037-1224 - Phone
- (626) 993-4042
- NPI assigned
- Aug 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1025528 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave
Suite 730
La Jolla, CA 92037-1224
Mailing address
9850 Genesee Ave
Suite 730
La Jolla, CA 92037-1224
Phone (626) 993-4042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ, VA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
317 6TH Ave
Suite 400
Des Moines, IA 50309-4037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1025528 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Dietitian, Registered | Current | Accepting new patients |
| Openloop Healthcare Partners California PC | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Dietitian, Registered | Current | Accepting new patients |
| Openloop Healthcare Partners Colorado, PC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Openloop Healthcare Partners New Jersey PC | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806
2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937
72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990
1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208
101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800
10260 SW Greenburg Rd
#4
Portland, OR 97223
Phone (513) 845-1656
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574
Organizations & group practices 7
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.
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
Dietitian, Registered
-
- Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
- NPI 1598418063
-
- General Practice Physician
- Denver, CO
- NPI 1912678012
Dietitian, Registered
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
Dietitian, Registered
-
- General Practice Physician
- Jersey City, NJ
- NPI 1588335152
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1275967424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 730",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "626-993-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 730",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "626-993-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SKYLAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-23",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1025528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.