Sandra Min Lit Jorgensen, MPH,RD,CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

870261 Issued in CA

Practice address

1850 S Azusa Ave
Suite 112
Hacienda Heights, CA 91745-6813

Phone

(626) 340-9013

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Loma Linda University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SJ Nutrition Inc.

  • Registered Dietitian
  • Hacienda Heights, CA
  • NPI 1376079434

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366646994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 112",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-340-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 112",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-340-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "SANDRA",
        "middle_name": "MIN LIT",
        "name_prefix": "Mrs.",
        "credential": "MPH,RD,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "870261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Johanson
• John Hsieh, Ms, PT, DC, Ca
• Shirley Johnson
• Shawna Jones
• Jordan B Cohen Chiropractic Inc
• Destiny Juarez
• JWCH Institute, Inc
• K. C. Medivans Inc
• Sam Sheung Tsam Kam, M.D., PH.D.
• Brian Patrick Kambak

• Registered Dietitian in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.