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Ms. Jackeline Beatriz Lopez, PA-C,RDN
Physician Assistant in Fontana, California
NPI 1295246692

Jackeline Beatriz Lopez is a Physician Assistant based in Fontana, CA. Jackeline Beatriz Lopez practices in Fontana, CA and has the professional credentials of PA-C,RDN. The NPI Number for Jackeline Beatriz Lopez is 1295246692 and holds a License No. 86026975 (California).

The current practice location address for Jackeline Beatriz Lopez is 16465 Sierra Lakes Pkwy Ste 300, Fontana, CA and can be reached out via phone at 909-429-2864.

Location: 16465 Sierra Lakes Pkwy Ste 300, Fontana, CA, 92336-1242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295246692
Provider Name
Jackeline Beatriz Lopez
Credential
PA-C,RDN
Provider Entity Type
Individual
Gender
Female
Address
16465 Sierra Lakes Pkwy Ste 300, Fontana, CA, 92336-1242
Phone Number
909-429-2864
Fax Number
Provider Enumeration Date
10/12/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16465 Sierra Lakes Pkwy Ste 300
City
Fontana
State
California
Zip
92336-1242
Phone Number
909-429-2864
Fax Number
person
Provider Business Mailing Address Details
Address
16465 Sierra Lakes Pkwy Ste 300
City
Fontana
State
California
Zip
92336-1242
Phone Number
909-429-2864
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
62965 (California)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Renal
Taxonomy
133VN1005X
License No.
()
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
86026975 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
86026975 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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