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DR. JAZMIN RODRIGUEZ-JORDAN PHD, RD
NPI 1689283939
Dietitian, Registered in Berkeley, CA

Active since July 23, 2020Accepts Medicare Assignment
2222 BANCROFT WAY, BERKELEY, CA 94720(510) 642-2000 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jazmin Rodriguez-jordan Phd, Rd NPPES

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

DR. JAZMIN RODRIGUEZ-JORDAN PHD, RD (NPI 1689283939) is an individual dietitian, registered in Berkeley, California and active in the NPI registry since July 2020. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1689283939
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDR. JAZMIN RODRIGUEZ-JORDANCredential: PHD, RD
Location Address2222 BANCROFT WAYBerkeley, CA 94720-4301
Mailing Address2222 Bancroft WayBerkeley, CA 94720-4301
Phone(510) 642-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
✔ NPI 1689283939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
2222 BANCROFT WAY, Berkeley, CA 94720
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jazmin Rodriguez-jordan Phd, Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274970280
PECOS Enrollment IDI20240326004335

Medicare Billing Reassignment

Medicare enrollment records show Jazmin Rodriguez-jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica De La Raza Inc
2.2 mi
Federally Qualified Health Center (FQHC)
4881 TELEGRAPH AVE
Oakland, CA 94609
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group
NPI 1346262292 (510) 428-3316

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

UHS PHARMACY UC BERKELEY
Clinic/Center (Student Health)
2222 BANCROFT WAY, PHARMACY; ROOM 1115
BERKELEY, CA 94720
Alameda County (510) 642-3249
JESSICA B. VETTER RN, NP
Nurse Practitioner (Psychiatric/Mental Health)
2222 BANCROFT WAY, #4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
STEPHANIE DELEON-VALENCIA
Registered Nurse (College Health)
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 642-2000
SAVANNAH R MCLEAN
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 642-2000
LIZBETH VIVIANA URDANETA MELO LCSW
Social Worker (Clinical)
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 642-6621
XIAO HE
Counselor (Mental Health)
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 642-2000
SARAH RUTH DOWNEY BSN, RN
Registered Nurse (Emergency)
2222 BANCROFT WAY
BERKELEY, CA 94720
Alameda County (510) 643-5808
DR. AMY VANESSA WERTHEIMER PH.D.
Psychologist
2222 BANCROFT WAY, 3RD FLOOR, COUNSELING & PSYCHOLOGICAL SERVICES
BERKELEY, CA 94720
Alameda County (510) 642-9331

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 Jazmin Rodriguez-jordan's NPI number?

The NPI number for Jazmin Rodriguez-jordan is 1689283939. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Jazmin Rodriguez-jordan located?

Jazmin Rodriguez-jordan practices at 2222 Bancroft Way, Berkeley, CA 94720. The listed phone number is (510) 642-2000.

What is Jazmin Rodriguez-jordan's specialty?

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

Is Jazmin Rodriguez-jordan enrolled in Medicare?

Yes. Jazmin Rodriguez-jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jazmin Rodriguez-jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jazmin Rodriguez-jordan reassigns Medicare benefits to La Clinica De La Raza Inc (Oakland, 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 Jazmin Rodriguez-jordan'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 Jazmin Rodriguez-jordan was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.