LILLIAN KIRBY RD
NPI 1295381044
Dietitian, Registered in San Jose, CA

Active since August 16, 2019
2400 MOORPARK AVE STE 316B, SAN JOSE, CA 95128(408) 885-5935 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lillian Kirby Rd NPPES

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

LILLIAN KIRBY RD (NPI 1295381044) is an individual dietitian, registered in San Jose, California, licensed in California (86329413) and active in the NPI registry since August 2019. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1295381044
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLILLIAN KIRBYCredential: RD
Location Address2400 MOORPARK AVE STE 316BSan Jose, CA 95128-2625
Mailing Address2400 Moorpark Ave Ste 316bSan Jose, CA 95128-2625
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2019
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1295381044 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 · 86329413
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.
2400 MOORPARK AVE STE 316B, San Jose, CA 95128

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lillian Kirby Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123516937
PECOS Enrollment IDI20251023001524

Medicare Billing Reassignment

Medicare enrollment records show Lillian Kirby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
2400 MOORPARK AVE, STE 100, 118, 204, 212, 220
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Pharmacist (Ambulatory Care)
2400 MOORPARK AVE STE 316B
SAN JOSE, CA 95128

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 Lillian Kirby's NPI number?

The NPI number for Lillian Kirby is 1295381044. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Where is Lillian Kirby located?

Lillian Kirby practices at 2400 Moorpark Ave Ste 316B, San Jose, CA 95128. The listed phone number is (408) 885-5935.

What is Lillian Kirby's specialty?

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

Is Lillian Kirby enrolled in Medicare?

Yes. Lillian Kirby is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lillian Kirby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Kirby reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lillian Kirby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lillian Kirby was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.