Active NPI
Selyna Belle McGeown, RD, CDCES
- Registered Dietitian
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86116207
- Practice address
- 2212 E 4TH St Ste 301
Santa Ana, CA 92705-3873 - Phone
- (714) 628-3242
- NPI assigned
- Sep 28, 2020
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86116207 | CA | Primary |
Addresses
Primary practice location
2212 E 4TH St Ste 301
Santa Ana, CA 92705-3873
Mailing address
2212 E 4TH St Ste 301
Santa Ana, CA 92705-3873
Phone (714) 628-3242
Other names 1
- Selyna Belle Jacobs
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
26800 Crown Valley Pkwy
Suite 435
Mission Viejo, CA 92691-8023
Phone (949) 542-8007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86116207 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| The J. Moss Foundation | Dietitian, Registered | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Wecare Pharmaceutical Services Inc | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
2212 E 4th St
Santa Ana, CA 92705
Phone (714) 288-3230
2212 E 4th St
Ste 301
Santa Ana, CA 92705
Phone (714) 288-3230
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Mission Viejo, CA
- NPI 1427305960
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Pharmacy
- San Bernardino, CA
- NPI 1790045292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1851908321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 E 4TH ST STE 301",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053873",
"telephone_number": "714-628-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 E 4TH ST STE 301",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053873",
"telephone_number": "714-628-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEOWN",
"first_name": "SELYNA",
"middle_name": "BELLE",
"credential": "RD, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2022-05-03",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86116207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SELYNA",
"last_name": "JACOBS",
"middle_name": "BELLE",
"credential": "RD,CDCES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.