Active NPI
Clarissa Hom, MPH, RD
- Pediatric Nutrition Registered Dietitian
- San Mateo, CA
National Provider Identifier
1831961226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- Practice address
- 1900 Ofarrell St Ste 250
San Mateo, CA 94403-1387 - Phone
- (650) 422-7475
- NPI assigned
- Oct 27, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | Primary |
Addresses
Primary practice location
1900 Ofarrell St Ste 250
San Mateo, CA 94403-1387
Mailing address
1900 Ofarrell St Ste 250
San Mateo, CA 94403-1387
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, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3061 Fillmore St
San Francisco, CA 94123-4009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
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- Los Angeles, CA
- NPI 1346958295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1831961226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 OFARRELL ST STE 250",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 OFARRELL ST STE 250",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031387",
"telephone_number": "650-422-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOM",
"first_name": "CLARISSA",
"credential": "MPH, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-27",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.