Individual provider Active NPI

Jane Tinker Haas, RDN

  • Registered Dietitian
  • Los Angeles, CA
National Provider Identifier
1336925239
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI61152888 Issued in WA
Practice address
619 S Olive St Ste 403
Los Angeles, CA 90014-1547
Phone
(323) 391-7262
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 DI61152888 WA Primary

Addresses

Primary practice location

619 S Olive St Ste 403
Los Angeles, CA 90014-1547

Mailing address

619 S Olive St Ste 403
Los Angeles, CA 90014-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313001202 CA Practitioner - Registered Dietitian Or Nutrition Professional 4486175973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI61152888WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bamboo Nutrition Therapy, Inc. Dietitian, Registered CurrentSince Sep 10, 2023 Accepting new patients
Kristie Tovar Nutrition & Wellness Inc Dietitian, Registered CurrentSince Jan 1, 2025 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

715 N Central Ave
Ste 108
Glendale, CA 91203
Phone (818) 569-3096

619 S Olive St
Ste 403
Los Angeles, CA 90014
Phone (310) 897-2597

25201 Avenue Tibbitts
Valencia, CA 91355
Phone (626) 393-9199

25201 Avenue Tibbitts
Ste 101
Valencia, CA 91355
Phone (818) 282-2090

28005 Smyth Dr
Valencia, CA 91355
Phone (661) 477-8935

Organizations & group practices 3

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1336925239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S OLIVE ST STE 403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S OLIVE ST STE 403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141547",
            "telephone_number": "323-391-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "JANE",
        "middle_name": "TINKER",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61152888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.