Active NPI
Janelle Nykeba Gaines, RDN
- Registered Dietitian
- San Francisco, CA
National Provider Identifier
1316727100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86297856
- Practice address
- 2241 Geary Blvd
San Francisco, CA 94115-3415 - Phone
- (415) 833-4877
- NPI assigned
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 86297856 | CA | Primary |
Addresses
Primary practice location
2241 Geary Blvd
San Francisco, CA 94115-3415
Mailing address
2041 Robin Dr
Fairfield, CA 94533-2332
Phone (707) 290-1066
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86297856 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1316727100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 ROBIN DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945332332",
"telephone_number": "707-290-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 GEARY BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153415",
"telephone_number": "415-833-4877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "JANELLE",
"middle_name": "NYKEBA",
"name_prefix": "Miss",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86297856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.