Active NPI
Vasona Hill Foundation
- Nutrition Education Nutritionist
- San Diego, CA
National Provider Identifier
1770424764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Legal business name
- VASONA HILL FOUNDATION
- Practice address
- 13140 Lumen Way
San Diego, CA 92130-2984 - Phone
- (702) 871-8535
- NPI assigned
- Apr 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nataliya Komasyuk
- Title
- Director
- Phone
- (702) 871-8535
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Athletic Trainer | 2255A2300X | |||
| Supports Brokerage Agency | 251X00000X |
Addresses
Primary practice location
13140 Lumen Way
San Diego, CA 92130-2984
Mailing address
1718 Capitol Ave
Cheyenne, WY 82001-4528
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1770424764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 CAPITOL AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820014528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13140 LUMEN WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302984",
"telephone_number": "702-871-8535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASONA HILL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-03",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "KOMASYUK",
"authorized_official_first_name": "NATALIYA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-871-8535"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.