Active NPI
Julia Vida Velasco-Popov, RDN
- Registered Dietitian
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86448084
- Practice address
- 1805 N California St Ste 308
Stockton, CA 95204-6032 - Phone
- (209) 227-0722
- NPI assigned
- Oct 25, 2024
- 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 | 012365 | NY | |
| Registered Dietitian | 133V00000X | 86448084 | Primary |
Addresses
Primary practice location
1805 N California St Ste 308
Stockton, CA 95204-6032
Mailing address
1805 N California St Ste 308
Stockton, CA 95204-6032
Phone (209) 227-0722
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, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
415 W Benjamin Holt Dr
Suite B3
Stockton, CA 95207-3958
Phone (209) 227-0722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012365 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Family Medical Center Inc | Current | Accepting new patients | |
| Open Door Family Medical Center Inc | Current | Accepting new patients | |
| Open Door Family Medical Center, Inc. | Current | Accepting new patients | |
| Valley Registered Dietitian Network | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Open Door Family Medical Center, Inc. | Past | Accepting new patients |
Locations
415 W Benjamin Holt Dr
Ste B3
Stockton, CA 95207
Phone (209) 227-0722
1805 N California St
Ste 308
Stockton, CA 95204
Phone (209) 227-0722
155 Main St
Brewster, NY 10509
Phone (845) 279-6999
689 Mamaroneck Ave
Mamaroneck, NY 10543
Phone (914) 253-1100
30 W Main St
Mount Kisco, NY 10549
Phone (914) 666-3272
165 Main St
Ossining, NY 10562
Phone (914) 941-1263
5 Grace Church St
Port Chester, NY 10573
Phone (914) 937-8899
300 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 631-4141
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAJCAA
Organizations & group practices 6
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.
-
- Oncology Nutrition Registered Dietitian
- Stockton, CA
- NPI 1831855311
Dietitian, Registered
-
- Federally Qualified Health Center (FQHC)
- Port Chester, NY
- NPI 1285893719
-
- Federally Qualified Health Center (FQHC)
- Saugerties, NY
- NPI 1780166645
-
- Federally Qualified Health Center (FQHC)
- Brewster, NY
- NPI 1003152240
-
- Federally Qualified Health Center (FQHC)
- Ossining, NY
- NPI 1467487637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1700608403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 N CALIFORNIA ST STE 308",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046032",
"telephone_number": "209-227-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 N CALIFORNIA ST STE 308",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046032",
"telephone_number": "209-227-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO-POPOV",
"first_name": "JULIA",
"middle_name": "VIDA",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-25",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "012365",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86448084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.