Jodie Fasullo, RN
NPI 1154885655 · Nutrition Support Registered Nurse · San Clemente, CA
Jodie Fasullo, RN is a Nutrition Support Registered Nurse provider in San Clemente, CA (NPI 1154885655).
Provider details
- NPI number
- 1154885655
- Entity type
- Individual
- Primary specialty
- Nutrition Support Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 718632 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 22600 Lambert St Ste 802bLake Forest, CA 92630-1620Phone: (949) 813-3026
Registry dates
- Enumerated
- 2019-01-29
- Last updated
- 2019-01-29
Frequently asked questions
- What is Jodie Fasullo's NPI number?
- Jodie Fasullo's National Provider Identifier (NPI) is 1154885655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jodie Fasullo's specialty?
- Jodie Fasullo is listed in the NPPES registry with a primary specialty of Nutrition Support Registered Nurse (Nursing Service Providers).
- Where is Jodie Fasullo located?
- Jodie Fasullo's practice location on file with NPPES is 37 Optima, San Clemente, CA 92672-9407.
- What is Jodie Fasullo's phone number?
- The practice phone number listed in the NPPES registry for Jodie Fasullo is (949) 813-3026.
- Is Jodie Fasullo's NPI active?
- Yes — Jodie Fasullo's NPI (1154885655) is active in the NPPES registry as of the last update on 2019-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.