JACQUELINE BONANNO R.D.
NPI 1124169271
Dietitian, Registered in Lodi, CA

Q: What is Jacqueline Bonanno's NPI number?

The NPI number for Jacqueline Bonanno is 1124169271. It was assigned to this individual provider in the NPPES registry on February 10, 2007.

Q: What is Jacqueline Bonanno's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since February 10, 2007

1718 SYLVAN WAY, #912, LODI, CA 95242(415) 533-5737 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline Bonanno R.d. NPPES

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

JACQUELINE BONANNO R.D. (NPI 1124169271) is an individual dietitian, registered in Lodi, California, licensed in California (942665) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1124169271

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJACQUELINE BONANNOCredential: R.D.

Location Address1718 SYLVAN WAY, #912Lodi, CA 95242-4318

Mailing Address1718 Sylvan Way, #912Lodi, CA 95242-4318

Phone(415) 533-5737

Sole ProprietorYes

Enumeration DateFebruary 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124169271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in CA · 942665

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1718 SYLVAN WAY, Lodi, CA 95242

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Other Providers at the Same Location NPPES

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

CANDRA CARR PA-C

Physician Assistant

1718 SYLVAN WAY, 1202
LODI, CA 95242

San Joaquin County (203) 500-0893

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 Jacqueline Bonanno's NPI number?

The NPI number for Jacqueline Bonanno is 1124169271. It was assigned to this individual provider in the NPPES registry on February 10, 2007.

Where is Jacqueline Bonanno located?

Jacqueline Bonanno practices at 1718 Sylvan Way #912, Lodi, CA 95242. The listed phone number is (415) 533-5737.

What is Jacqueline Bonanno's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Bonanno was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.