Active NPI
Janice H Dada, MPH, RD, CDE
- Registered Dietitian
- Newport Beach, CA
National Provider Identifier
1356540439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1100 Quail St
Suite 111
Newport Beach, CA 92660-2701 - Phone
- (949) 478-2288
- Fax
- (949) 209-1860
- NPI assigned
- Jul 17, 2007
- 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 | Primary |
Addresses
Primary practice location
1100 Quail St
Suite 111
Newport Beach, CA 92660-2701
Mailing address
1100 Quail St
Suite 111
Newport Beach, CA 92660-2701
Phone (949) 478-2288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100106000711 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 5496896946 | Practice locations: Newport Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of California, Geffen School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 Quail St
Suite 111
Newport Beach, CA 92660-2779
Phone (949) 478-2288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Nutrition & Wellness Inc | Dietitian, Registered | Current | Accepting new patients |
| Strategic Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
1100 Quail St
Ste 111
Newport Beach, CA 92660
Phone (949) 223-0105
Organizations & group practices 2
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.
-
- Registered Dietitian
- Newport Beach, CA
- NPI 1962213363
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491696000000",
"number": "1356540439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 QUAIL ST",
"address_2": "SUITE 111",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602701",
"telephone_number": "949-478-2288",
"fax_number": "949-209-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 QUAIL ST",
"address_2": "SUITE 111",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602701",
"telephone_number": "949-478-2288",
"fax_number": "949-209-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADA",
"first_name": "JANICE",
"middle_name": "H",
"credential": "MPH, RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2017-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2017; 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.