Active NPI
Jan Wirsching, RD
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1801612239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86168772
- Practice address
- 555 Washington St
San Diego, CA 92103-2289 - Phone
- (619) 260-8300
- NPI assigned
- Dec 2, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 86168772 | IA | Primary |
Addresses
Primary practice location
555 Washington St
San Diego, CA 92103-2289
Mailing address
9450 Gilman Dr # 55002
La Jolla, CA 92092-0102
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 |
|---|---|---|---|
| 86168772 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1801612239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 GILMAN DR # 55002",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920920102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WASHINGTON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032289",
"telephone_number": "619-260-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRSCHING",
"first_name": "JAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "86168772",
"primary": true
}
],
"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 Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.