Active NPI
Jillian S Chaney, RDN
- Registered Dietitian
- San Clemente, CA
National Provider Identifier
1376151563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86106331
- Practice address
- 94 Via Onda
San Clemente, CA 92673-5688 - Phone
- (412) 901-4458
- NPI assigned
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 86106331 | CA | Primary |
Addresses
Primary practice location
94 Via Onda
San Clemente, CA 92673-5688
Mailing address
94 Via Onda
San Clemente, CA 92673-5688
Phone (412) 901-4458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86106331 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1376151563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 VIA ONDA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926735688",
"telephone_number": "412-901-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 VIA ONDA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926735688",
"telephone_number": "412-901-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "JILLIAN",
"middle_name": "S",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86106331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.