Individual provider Active NPI

Janice H Dada, MPH, RD, CDE

  • Registered Dietitian
  • Newport Beach, CA
National Provider Identifier
1356540439
Registry record updated Apr 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Apr 9, 2017

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 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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Socal Nutrition & Wellness Inc Dietitian, Registered CurrentSince Jan 19, 2025 Accepting new patients
Strategic Nutrition Dietitian, Registered PastSince Jun 7, 2025 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.

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.

Verify at the official NPI Registry.