Individual provider Active NPI

Porche Jones, REGISTERED DIETITIAN

  • Registered Dietitian
  • Monrovia, CA
National Provider Identifier
1316591605
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
922443 Issued in CA
Practice address
825 S Myrtle Ave
Monrovia, CA 91016-3424
Phone
(626) 471-9726
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 922443 CA Primary

Addresses

Primary practice location

825 S Myrtle Ave
Monrovia, CA 91016-3424

Mailing address

8142 Wynne Ave
Reseda, CA 91335-1337
Phone (818) 231-4424

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rich.lamb@tanner.com Direct

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

State licenses

LicenseStateTypeSpecialty
922443CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Tanner Care, LLC PastSince Jul 28, 2019 Accepting new patients
Taylor Care, Inc PC PastSince Jul 28, 2019 Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1316591605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8142 WYNNE AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351337",
            "telephone_number": "818-231-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S MYRTLE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163424",
            "telephone_number": "626-471-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PORCHE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "922443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rich.lamb@tanner.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "assessment data and demographics",
            "address_1": "825 S Myrtle Ave",
            "city": "Monrovia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910163424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.