Active NPI
Stephanie Gomez, RDN
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1497442925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86155408
- Practice address
- 3505 Camino del Rio S Ste 334
San Diego, CA 92108-4090 - Phone
- (619) 332-3116
- NPI assigned
- Apr 24, 2023
- 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 | 86155408 | CA | Primary |
Addresses
Primary practice location
3505 Camino del Rio S Ste 334
San Diego, CA 92108-4090
Mailing address
2801 B St # 3093
San Diego, CA 92102-2208
Phone (909) 241-6706
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3505 Camino del Rio S
Suite 334
San Diego, CA 92108-4090
Phone (619) 332-3116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86155408 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Begin Again Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
3505 Camino del Rio S
Ste 334
San Diego, CA 92108
Phone (619) 289-7349
2801 B St
San Diego, CA 92102
Phone (619) 452-2544
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1497442925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 B ST # 3093",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921022208",
"telephone_number": "909-241-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 CAMINO DEL RIO S STE 334",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084090",
"telephone_number": "619-332-3116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "STEPHANIE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86155408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 24, 2025; 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.