Active NPI
Alissa Marie Herrera, RD (REGISTERED DIETI
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1427368919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01049717
- Practice address
- Rady Children'S Hospital 3020 Children'S Way
Clinical Nutrition Department
San Diego, CA 92123 - Phone
- (858) 576-1700
- NPI assigned
- Oct 18, 2010
- 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 | 01049717 | CA | Primary |
Addresses
Primary practice location
Rady Children'S Hospital 3020 Children'S Way
Clinical Nutrition Department
San Diego, CA 92123
Mailing address
Rady Children'S Hospital Clinical Nutrition Department
3020 Children'S Way
San Diego, CA 92123
Phone (858) 576-1700
Other names 1
- Alissa Marie Johnson
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 |
|---|---|---|---|
| 01049717 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1427368919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RADY CHILDREN'S HOSPITAL CLINICAL NUTRITION DEPARTMENT",
"address_2": "3020 CHILDREN'S WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-576-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RADY CHILDREN'S HOSPITAL 3020 CHILDREN'S WAY",
"address_2": "CLINICAL NUTRITION DEPARTMENT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-576-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "ALISSA",
"middle_name": "MARIE",
"credential": "RD (REGISTERED DIETI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "01049717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISSA",
"last_name": "JOHNSON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.