JAN GOLDBERG
NPI 1063309102
Nutritionist - Nutrition, Education in Bishop, CA

Active since June 20, 2025

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jan Goldberg NPPES

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

JAN GOLDBERG (NPI 1063309102) is an individual nutrition, education provider in Bishop, California and active in the NPI registry since June 2025. She maintains a secondary practice location in Davis.

NPPES Registry Identity

NPI1063309102
Entity TypeIndividualFemale
Primary Taxonomy133NN1002X
Provider Legal NameJAN GOLDBERG
Location Address286 MAY STBishop, CA 93514-2712
Mailing Address128 Huerta PlDavis, CA 95616-0269 · (530) 400-7541
Sole ProprietorYes
Enumeration DateJune 20, 2025
NPPES CertifiedJune 20, 2025
NPI 1063309102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
286 MAY ST, Bishop, CA 93514

Secondary Practice Location 1

Location 1128 Huerta PlDavis, CA 95616-0269 · Phone (530) 400-7541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Goldberg's NPI number?

The NPI number for Jan Goldberg is 1063309102. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Jan Goldberg located?

Jan Goldberg practices at 286 May St, Bishop, CA 93514. The listed phone number is (530) 400-7541.

What is Jan Goldberg's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Jan Goldberg was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.