| Jillian Chacon, RD | |
|
301 Industrial Rd, San Carlos, CA 94070-2603 | |
| (650) 853-2961 | |
| Not Available |
| Full Name | Jillian Chacon |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Obesity And Weight Management |
| Location | 301 Industrial Rd, San Carlos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053175109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | 86295151 (California) | Primary |
| Provider Name | Sutter Bay Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Chacon, RD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 853-2961 | Jillian Chacon, RD 301 Industrial Rd, San Carlos, CA 94070-2603 Ph: (650) 853-2961 |
Julie Engberg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 295 Fairfield Dr, San Carlos, CA 94070 Phone: 650-576-6832 |
Kathleen Anne Croft, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Tamarack Ave, San Carlos, CA 94070 Phone: 650-593-1066 |
Rosylan Marie Rojas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 40 Madera Ave, San Carlos, CA 94070 Phone: 650-576-4812 |
Kirstin Jackson, MA, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 809 Laurel St Unit 172, San Carlos, CA 94070 Phone: 650-569-0045 |
Ms. Susan Renee Mcclendon, R.D., C.N.S.D. Dietitian Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-853-2250 |
Dr. Suzanne Tennis, R.D., DR.H.SC. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 790 Laurel St, #110, San Carlos, CA 94070 Phone: 650-637-0480 |
Cassidy Ozowara, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1180 San Carlos Ave # 441, San Carlos, CA 94070 Phone: 206-437-8646 |