Active NPI
Jemimah Chan, RD
- Registered Dietitian
- Campbell, CA
National Provider Identifier
1982346532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86084885
- Practice address
- 441 N Central Ave Ste 2a
Campbell, CA 95008-1428 - Phone
- (408) 370-7731
- NPI assigned
- Apr 12, 2022
- Sex
- Female
- 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 | 86084885 | CA | Primary |
Addresses
Primary practice location
441 N Central Ave Ste 2a
Campbell, CA 95008-1428
Mailing address
987 University Ave Ste 22
Los Gatos, CA 95032-7640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 7, 2024 through Aug 7, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86084885 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
441 N Central Ave
Ste 2A
Campbell, CA 95008
Phone (408) 370-7731
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1982346532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "987 UNIVERSITY AVE STE 22",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950327640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 N CENTRAL AVE STE 2A",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081428",
"telephone_number": "408-370-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "JEMIMAH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86084885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.