IndividualActive
Jillian Chacon, RD
NPI 1053175109 · Obesity and Weight Management Nutrition Registered Dietitian · San Carlos, CA
Provider details
- NPI number
- 1053175109
- Entity type
- Individual
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86295151 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
301 Industrial Rd
San Carlos, CA 94070-2603
Phone: (650) 853-2961
Approximate (ZIP-level) locationGet directions
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Additional practice locations (1)
- 330 Alvarado StBrisbane, CA 94005-1602Phone: (650) 862-2280
Registry dates
- Enumerated
- 2024-02-09
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.