Active NPI
Jason Mousel, M.S., R.D.
- Registered Dietitian
- Redwood City, CA
National Provider Identifier
1356689061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 993110
- Practice address
- 165 Arch St
Redwood City, CA 94062-1303 - Phone
- (415) 516-7032
- NPI assigned
- Jan 30, 2013
- Sex
- Male
- 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 | 993110 | Primary |
Addresses
Primary practice location
165 Arch St
Redwood City, CA 94062-1303
Mailing address
PO Box 151
El Granada, CA 94018-0151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2333 Buchanan St
Suite 1090
San Francisco, CA 94115-1925
2333 Buchanan St
Suite 1090
San Francisco, CA 94115-1995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Organizations & group practices 1
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.
-
- Clinical Social Worker
- San Francisco, CA
- NPI 1285814921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1356689061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151",
"city": "EL GRANADA",
"state": "CA",
"postal_code": "940180151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ARCH ST",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621303",
"telephone_number": "415-516-7032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSEL",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "M.S., R.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-30",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "993110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.