1. Home
  2. Directory
  3. California
  4. San Diego
  5. Dietitian Registered
  6. NPI Profile

MARYANN TOMOVICH JACOBSEN RD
NPI 1679107981
Dietitian, Registered - Nutrition, Pediatric in San Diego, CA

Active since February 25, 2020
9820 WILLOW CREEK RD STE 490, SAN DIEGO, CA 92131(858) 705-7877 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maryann Tomovich Jacobsen Rd NPPES

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

MARYANN TOMOVICH JACOBSEN RD (NPI 1679107981) is an individual nutrition, pediatric provider in San Diego, California, licensed in California (831707) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1679107981
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameMARYANN TOMOVICH JACOBSENCredential: RD
Location Address9820 WILLOW CREEK RD STE 490San Diego, CA 92131-1128
Mailing Address10826 Loire AveSan Diego, CA 92131-1517
Phone(858) 705-7877
Sole ProprietorYes
Enumeration DateFebruary 25, 2020
✔ NPI 1679107981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in CA · 831707
Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X · License 831707 (CA)
9820 WILLOW CREEK RD STE 490, San Diego, CA 92131
Open in Google Maps ↗

Frequently Asked Questions

What is Maryann Jacobsen's NPI number?

The NPI number assigned to this healthcare provider is 1679107981, enumerated as an "individual" on February 25, 2020.

Where is the provider located?

The provider is located at 9820 WILLOW CREEK RD STE 490 SAN DIEGO, CA 92131 and the phone number is (858) 705-7877.

What is the provider's specialty?

Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.