MRS. JESSICA VANDERBILT


Address: 1685 N Marshall Ave, El Cajon, CA 92020-1126
Phone: 6192770859

MRS. JESSICA VANDERBILT (NPI# 1669844429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669844429
Entity Type Individual
Full Name MRS. JESSICA VANDERBILT
Practice Address 1685 N Marshall Ave
El Cajon
CA 92020-1126
Practice Telephone 6192770859
Mailing Telephone 6192770859
Enumeration Date 2015-10-20
Last Update Date 2020-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers
N 175F00000X Naturopath Other Service Providers
N 374J00000X Doula Nursing Service Related Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5555 Grossmont Center Dr, La Mesa, CA 919423019 6197406000

Other Providers JESSICA VANDERBILT

NPI Name Taxonomy Address Enumeration
1639582893 Jessica Vanderbilt Counselor 3800 Coolidge Ave, Oakland, CA 94602-3311 2014-06-05

Office Location

Street Address 1685 N MARSHALL AVE
City EL CAJON
State CA
Zip Code 92020-1126

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447877840 Margarito Alejandro Torres Behavior Technician 1005 S. Sunshine Ave, El Cajon, CA 92020 2020-07-01
1619503166 Stella Zeicu Varagic Dentist 2526 Fletcher Pkwy, El Cajon, CA 92020 2020-03-17
1548827819 Unexpected Possibilities, Inc Non-emergency Medical Transport (VAN) 1015 El Cajon Blvd # A, El Cajon, CA 92020 2019-05-22
1083175707 Maricela Uriarte D.d.s Dentist 164 W Park Ave, El Cajon, CA 92020 2019-03-26
1881153963 Rubeleta Medina Nurse Practitioner 1908 Friendship Drive, El Cajon, CA 92020 2019-03-18
1235619800 Melissa Gomez Counselor 1600 Cuyamaca St, El Cajo, CA 92020 2018-08-14
1013407790 Erin Metcalf Family Medicine 133 W Main St., 240, El Cajon, CA 92020 2018-05-17
1326535220 Diana Orozco Counselor 1870cordell Court, Suite 101, El Cajon, CA 92020 2018-04-16
1104330646 Mercy Air Service, Inc. Ambulance 545 Kenney St Ste G1a, El Cajon, CA 92020 2017-11-20
1790296184 Way Cool Homecare, Inc In Home Supportive Care 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 2017-10-12
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902404155 Victoria Zhukova Shemer Nutritionist 39 Calypso, Irvine, CA 92618-1519 2020-10-10
1306444658 Califia Suntree Nutritionist 3812 Jo Ann Dr, Sacramento, CA 95821-3819 2020-10-09
1538772520 Alicia Manley Nutritionist 198 Berk Pl, Richmond, CA 94804-4219 2020-08-28
1780295089 Autumn Beam Nutritionist 1437 N Los Robles Ave, Pasadena, CA 91104-2140 2020-08-11
1689292815 Jodi Ann Sutherland Nutritionist 54910, Pine Crest Avenue, Idyllwild, CA 92549-9254 2020-07-14
1407471410 Joyce Peters Nutritionist 9465 Wilshire Blvd Ste 300, Beverly Hills, CA 90212-2624 2020-06-15
1114542883 Kim Evans Nutritionist 101 Gregory Ln Ste 25, Pleasant Hill, CA 94523-4915 2020-06-09
1013539717 Susan Astrid Blanc Nutritionist 2303 Camino Ramon # 208, San Ramon, CA 94583-1392 2020-05-15
1245869445 Janel Anderson Nutritionist 10865 Whitehorse Rd # 5, Truckee, CA 96161-1428 2020-04-08
1154958130 Lonnele Ball Nutritionist 69 Northampton Ave, Berkeley, CA 94707-1714 2020-03-26
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Competitor

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City EL CAJON
Zip Code 92020

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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