Individual provider Active NPI

Julia Vida Velasco-Popov, RDN

  • Registered Dietitian
  • Stockton, CA
National Provider Identifier
1700608403
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260410003330 CA Practitioner - Registered Dietitian Or Nutrition Professional 7517496920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Valley Registered Dietitian NetworkGroup PAC ID 8426449281, 6 clinicians

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

LicenseStateTypeSpecialty
012365NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Family Medical Center Inc Current Accepting new patients
Open Door Family Medical Center Inc CurrentSince Nov 27, 2024 Accepting new patients
Open Door Family Medical Center, Inc. CurrentSince Nov 27, 2024 Accepting new patients
Valley Registered Dietitian Network Dietitian, Registered CurrentSince Apr 1, 2026 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.