Active NPI
Jennifer Michaela Leitner
- Registered Dietitian
- Cypress, CA
National Provider Identifier
1699639674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1057109
- Practice address
- 9591 Graham St Apt 42
Cypress, CA 90630-3838 - Phone
- (714) 728-9429
- NPI assigned
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 1057109 | CA | Primary |
Addresses
Primary practice location
9591 Graham St Apt 42
Cypress, CA 90630-3838
Mailing address
9591 Graham St Apt 42
Cypress, CA 90630-3838
Phone (714) 728-9429
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 |
|---|---|---|---|
| 1057109 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1699639674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9591 GRAHAM ST APT 42",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303838",
"telephone_number": "714-728-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9591 GRAHAM ST APT 42",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303838",
"telephone_number": "714-728-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITNER",
"first_name": "JENNIFER",
"middle_name": "MICHAELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1057109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.