Individual provider Active NPI

Jina Ann George, R.D.,

  • Registered Dietitian
  • Vista, CA
National Provider Identifier
1952538910
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
966497 Issued in CA
Practice address
450 S Melrose Dr
Vista, CA 92081-6674
Phone
(760) 227-2392
Fax
(760) 388-7705
NPI assigned
Jun 17, 2009
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 966497 CA Primary

Addresses

Primary practice location

450 S Melrose Dr
Vista, CA 92081-6674

Mailing address

2035 San Remo Dr
Oceanside, CA 92056-3282
Phone (619) 985-6992

Other practice location 1

50100 Golsh Rd
Valley Center, CA 92082-5338
Phone (760) 749-1410 ext. 5392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000550 CA Practitioner - Registered Dietitian Or Nutrition Professional 0648319053 Reassigns benefits to 2 organizations
Practice locations: Oceanside, CA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

450 S Melrose Dr
Vista, CA 92081-6674
Phone (760) 271-4491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
966497CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jina George Inc. Dietitian, Registered CurrentSince May 13, 2023 Accepting new patients
Indian Health Council, Inc CurrentSince Sep 28, 2009 Accepting new patients

Locations

1582 W San Marcos Blvd
Ste 105
San Marcos, CA 92078
Phone (760) 203-8474

1582 W San Marcos Blvd
Ste 304
San Marcos, CA 92078
Phone (760) 271-4491

50100 Golsh Rd
Valley Center, CA 92082
Phone (760) 749-1410

450 S Melrose Dr
Vista, CA 92081
Phone (760) 227-2392

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1952538910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 SAN REMO DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563282",
            "telephone_number": "619-985-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816674",
            "telephone_number": "760-227-2392",
            "fax_number": "760-388-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50100 Golsh Rd",
            "address_purpose": "LOCATION",
            "city": "Valley Center",
            "state": "CA",
            "postal_code": "920825338",
            "country_code": "US",
            "telephone_number": "760-749-1410 x5392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JINA",
        "middle_name": "ANN",
        "credential": "R.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "966497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.

Verify at the official NPI Registry.