TAEGAN Q GANDOLFI RD
NPI 1245958800
Dietitian, Registered in San Diego, CA

Active since August 19, 2022
625 BROADWAY, SAN DIEGO, CA 92101(315) 359-8608 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 25, 2025, Nov 21, 2025, Aug 19, 2022 (3 updates tracked since 2022).

About Taegan Q Gandolfi Rd NPPES

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

TAEGAN Q GANDOLFI RD (NPI 1245958800) is an individual dietitian, registered in San Diego, California, licensed in New York (86328389) and active in the NPI registry since August 2022. She maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1245958800
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTAEGAN Q GANDOLFICredential: RD
Location Address625 BROADWAYSan Diego, CA 92101-5403
Mailing Address625 BroadwaySan Diego, CA 92101-5403 · (585) 922-4020
Sole ProprietorNo
Enumeration DateAugust 19, 2022
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1245958800 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 NY · 86328389
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.
625 BROADWAY, San Diego, CA 92101

Secondary Practice Location 1

Location 120 Hagen DrRochester, NY 14625-2666 · Phone (585) 922-4020 ext. 25822

Accepted Insurance

Other Providers at the Same Location NPPES

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

Behavior Technician
625 BROADWAY
SAN DIEGO, CA 92101

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 Taegan Gandolfi's NPI number?

The NPI number for Taegan Gandolfi is 1245958800. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Where is Taegan Gandolfi located?

Taegan Gandolfi practices at 625 Broadway, San Diego, CA 92101. The listed phone number is (315) 359-8608.

What is Taegan Gandolfi's specialty?

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

What insurance does Taegan Gandolfi accept?

Health plans from Blue Cross and Blue Shield of Texas list Taegan Gandolfi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taegan Gandolfi was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.