Jennifer Cecilia O'Neill, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86172220 Issued in CA

Practice address

1350 Reche Canyon Rd
Colton, CA 92324-9528

Phone

(909) 645-3840

NPI assigned

Dec 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1629780192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 VIA PACIFICA APT D203",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824417",
            "telephone_number": "909-645-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 RECHE CANYON RD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249528",
            "telephone_number": "909-645-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "JENNIFER",
        "middle_name": "CECILIA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86172220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86172220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlington Nwite, RN
• Jane Nwokeabia
• Henry Nwosu, NP
• Martine Nyiramahirwe
• Timothy Sean O'Kelley, D.O.
• Oasis Medical Center, Inc.
• Oasis Medical Center,Inc.
• Angelina Oba
• Brooklyn Ober, PA-C
• Christina Obike

• Registered Dietitian in Colton, CA
• Providers in Colton, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.