Individual provider Active NPI

James F Wadman

  • Registered Dietitian
  • San Diego, CA
National Provider Identifier
1427702695
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
4160 Louisiana St, Unit B
San Diego, CA 92104-1673
Phone
(619) 798-6336
NPI assigned
Feb 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

4160 Louisiana St, Unit B
San Diego, CA 92104-1673

Mailing address

4160 Louisiana St, Unit B
San Diego, CA 92104-1673
Phone (619) 798-6336

Other identifiers 1

IdentifierTypeStateIssuer
86153695OtherCOMMISSION ON DIETETIC REGISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwadman@earthlink.net Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1427702695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 LOUISIANA ST, UNIT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041673",
            "telephone_number": "619-798-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 LOUISIANA ST, UNIT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041673",
            "telephone_number": "619-798-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADMAN",
        "first_name": "JAMES",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86153695",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwadman@earthlink.net",
            "affiliation": "N",
            "endpointDescription": "personal email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "4160 Louisiana St, unit B",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921041673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.