Individual provider Active NPI

Janet Golub Schenker, M.ED, RD

  • Registered Dietitian
  • Santa Ana, CA
National Provider Identifier
1306127568
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
654553 Issued in CA
Practice address
12986 Azusa Cir
Santa Ana, CA 92705-1303
Phone
(714) 730-5579
Fax
(714) 505-1877
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 654553 CA Primary
Pediatric Nutrition Registered Dietitian 133VN1004X 654553 CA
Renal Nutrition Registered Dietitian 133VN1005X 654553 CA

Addresses

Primary practice location

12986 Azusa Cir
Santa Ana, CA 92705-1303

Mailing address

12986 Azusa Cir
Santa Ana, CA 92705-1303
Phone (714) 730-5579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
654553CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1306127568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12986 AZUSA CIR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051303",
            "telephone_number": "714-730-5579",
            "fax_number": "714-505-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12986 AZUSA CIR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051303",
            "telephone_number": "714-730-5579",
            "fax_number": "714-505-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENKER",
        "first_name": "JANET",
        "middle_name": "GOLUB",
        "name_prefix": "Mrs.",
        "credential": "M.ED, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "654553",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "CA",
            "license": "654553",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "654553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.