Active NPI
Jessica Slamon, MS, RD, CDN
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1649812496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86056374
- Practice address
- 1520 San Pablo St
Los Angeles, CA 90033-5310 - Phone
- (323) 442-5557
- NPI assigned
- Oct 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86056374 | NY | |
| Registered Dietitian | 133V00000X | 86056374 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St
Los Angeles, CA 90033-5310
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5100
Other practice location 1
1901 1st Ave
New York, NY 10029-7494
Phone (212) 423-6742
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.slamon@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86056374 | CA | MD | Registered Dietitian |
| 86056374 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
Interoperability endpoints
- jessica.slamon@direct.usc.edu
Organizations & group practices 2
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1649812496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335310",
"telephone_number": "323-442-5557"
}
],
"practiceLocations": [
{
"address_1": "1901 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100297494",
"country_code": "US",
"telephone_number": "212-423-6742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLAMON",
"first_name": "JESSICA",
"credential": "MS, RD, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86056374",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86056374",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.slamon@direct.usc.edu",
"affiliation": "Y",
"affiliationName": "USC CARE MEDICAL GROUP, INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1520 San Pablo St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900335310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.