JILLIAN CHACON RD
NPI 1053175109
Dietitian, Registered - Nutrition, Obesity and Weight Management in San Carlos, CA

Q: What is Jillian Chacon's NPI number?

The NPI number for Jillian Chacon is 1053175109. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Q: What is Jillian Chacon's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Q: When was this NPI record last updated?

The NPPES record for Jillian Chacon was last updated on June 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 09, 2024

301 INDUSTRIAL RD, SAN CARLOS, CA 94070(650) 853-2961 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2024, Feb 9, 2024 (2 updates tracked since 2024).

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About Jillian Chacon Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN CHACON RD (NPI 1053175109) is an individual nutrition, obesity and weight management provider in San Carlos, California, licensed in California (86295151) and active in the NPI registry since February 2024. She maintains a secondary practice location in Brisbane.

NPPES Registry Identity

NPI1053175109

Entity TypeIndividualFemale

Primary Taxonomy133VN1201X

Provider Legal NameJILLIAN CHACONCredential: RD

Location Address301 INDUSTRIAL RDSan Carlos, CA 94070-2603

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 853-2961

Phone(650) 853-2961

Sole ProprietorYes

Enumeration DateFebruary 9, 2024

Last NPPES UpdateJune 3, 20242 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1053175109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers

Taxonomy Code133VN1201X

License✔ Licensed in CA · 86295151

Definition

An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.

301 INDUSTRIAL RD, San Carlos, CA 94070

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Secondary Practice Location 1

Location 1330 Alvarado StBrisbane, CA 94005-1602 · Phone (650) 862-2280

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA ASHE MD

Internal Medicine