MARYANN TOMOVICH JACOBSEN


Address: 9820 Willow Creek Rd Ste 490, San Diego, CA 92131-1128
Phone: 8587057877

MARYANN TOMOVICH JACOBSEN (NPI# 1679107981) 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) 1679107981
Entity Type Individual
Full Name MARYANN TOMOVICH JACOBSEN
Credential RD
Practice Address 9820 Willow Creek Rd Ste 490
San Diego
CA 92131-1128
Mailing Address 10826 Loire Ave
San Diego
CA 92131-1517
Practice Telephone 8587057877
Enumeration Date 2020-02-25
Last Update Date 2020-02-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
831707 CA Dietary & Nutritional Service Providers
N 133VN1201X 831707 CA

Office Location

Street Address 9820 WILLOW CREEK RD STE 490
City SAN DIEGO
State CA
Zip Code 92131-1128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609416965 Susan Cannon Behavior Technician 10680 Treena Street Suite 170, San Diego, CA 92131 2020-01-14
1265929442 Lydia Besterfeldt Registered Nurse 9967 Mesa Madera Dr, San Diego, CA 92131 2018-04-13
1235649690 Mac Dental Corporation Oral & Maxillofacial Surgery 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 2017-10-11
1679019087 Karyn Rose Giaquinto Fistonich Assistant Behavior Analyst 10060 Old Grove Road, San Diego, CA 92131 2017-01-09
1710439559 Fred Finch Youth Center Cares Psychologist 10174 Old Grove Road, Sutie 100, San Diego, CA 92131 2016-10-27
1346647153 Neurosound, Inc. Specialist 10755 Scripps Poway Parkway, Suite 581, San Diego, CA 92131 2014-11-21
1679985329 Catherine Margaret Myers Counselor 10065 Old Grove Road, Suite 200, San Diego, CA 92131 2014-05-29
1225399512 Sarah Merrill Family Medicine 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131 2012-06-03
1386964997 Nicole Jacaruso Skinner Physical Therapist 10555 Pine Falls Ct, San Diego, CA 92131 2010-06-04
1316272636 David Paul Anderson Chiropractor 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 2009-10-05
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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811325558 Janet Salvador Dietitian, Registered 3030 Childrens Way # Mc5029, San Diego, CA 92123-4232 2013-10-16
1649824319 Kelsey Linn Theisen Dietitian, Registered 3020 Childrens Way, San Diego, CA 92123-4223 2019-07-30
1700231123 Monica Wing Dietitian, Registered 3020 Children's Way, San Diego, CA 92123 2016-05-04
1548644602 Emily Bhattacharjee Dietitian, Registered 3020 Childrens Way, San Diego, CA 92123-4223 2015-07-17
1841679214 Adriana Arredondo Dietitian, Registered 3020 Childrens Way, San Diego, CA 92123-4223 2015-05-19
1962881326 Nicole Sanner Dietitian, Registered 3020 Childrens Way, Mc5029, San Diego, CA 92123-4223 2015-05-19
1699154062 Samme Fuchs Dietitian, Registered 3020 Childrens Way, San Diego, CA 92123-4223 2015-05-19
1205267705 Jacqueline Keller Dietitian, Registered 200 W Arbor Dr, San Diego, CA 92103-9000 2013-12-09
1891047940 Jill Michelle Greer Dietitian, Registered 5776 Ruffin Rd, San Diego, CA 92123-1013 2012-10-12
1396956611 Pauline Ann Nelson Dietitian, Registered 3020 Childrens Way, San Diego, CA 92123-4223 2007-05-25
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92131

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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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