Active NPIIndividual providerSole proprietor

Jacqueline V Acosta, RDN

Dietitian, Registered in San Diego, California

NPI Number1659135879
Practice location
1809 National Ave, San Diego, CA 92113-2113
Fax
—
Last updated
August 7, 2024

Jacqueline V Acosta, RDN is a Dietitian, Registered based in San Diego, CA. Jacqueline V Acosta, RDN holds the professional credentials of RDN. The NPI number for Jacqueline V Acosta, RDN is 1659135879 and holds license No. 86359605 (CA). The current practice location address is 1809 National Ave, San Diego, CA 92113-2113 and the office can be reached by phone at 619-515-2300. The NPI was assigned on February 8, 2024 and the record was last updated in NPPES on August 7, 2024.

●Provider Profile Details

NPI Number
1659135879
Provider Name
Jacqueline Vanessa Acosta
Credential
RDN
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Enumeration Date
February 8, 2024
Last Update Date
August 7, 2024
Certification Date
August 7, 2024
NPI Status
Active

◉Business Practice Location Address

Address
1809 National Ave
San Diego, CA 92113-2113
ZIP
92113-2113
Country
US
Phone Number
619-515-2300

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✉Business Mailing Address

Address
2475 Paseo De Las Americas # 1174
San Diego, CA 92154-7255
City
San Diego
State
CA
ZIP
92154-7255
Phone Number
619-867-2582

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dietitian, Registered133V00000XYes86359605CA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jacqueline V Acosta, RDN?

The NPI number of Jacqueline V Acosta, RDN is 1659135879. It was assigned on February 8, 2024 and is currently active in the NPPES registry.

What is the specialty of Jacqueline V Acosta, RDN?

Jacqueline V Acosta, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X) and holds license No. 86359605 (CA).

Where does Jacqueline V Acosta, RDN practice?

The practice location is 1809 National Ave, San Diego, CA 92113-2113. The office can be reached at 619-515-2300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659135879 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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