Organization Active NPI

Jetset Dietitian LLC

  • Registered Dietitian
  • Pasadena, CA
National Provider Identifier
1932681541
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JETSET DIETITIAN LLC
Practice address
680 E Colorado Blvd
Ste 180 2ND Floor
Pasadena, CA 91101
Phone
(323) 880-0404
Fax
(626) 774-7988
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Julie Ching, MS, RDN, CDCESNPI 1437524428
Title
Owner
Phone
(424) 259-3132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

680 E Colorado Blvd
Ste 180 2ND Floor
Pasadena, CA 91101

Mailing address

4265 Walnut Grove Ave
Rosemead, CA 91770-1381

Other practice location 1

714 W Olympic Blvd
Ste 703 & 704
Los Angeles, CA 90015
Phone (323) 880-0404

Other identifiers 1

IdentifierTypeStateIssuer
1437524428OtherNPI TYPE 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181120001692 CA Part B Supplier - Clinic/Group Practice 5698029197 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1932681541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 WALNUT GROVE AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E COLORADO BLVD",
            "address_2": "STE 180 2ND FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "323-880-0404",
            "fax_number": "626-774-7988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 W Olympic Blvd",
            "address_2": "Ste 703 & 704",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90015",
            "country_code": "US",
            "telephone_number": "323-880-0404",
            "fax_number": "626-774-7988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JETSET DIETITIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "CHING",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-259-3132",
        "authorized_official_credential": "MS, RDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1437524428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.