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JEMIMAH CHAN RD
NPI 1982346532
Dietitian, Registered in Campbell, CA

Active since April 12, 2022Opted out of Medicare · through Aug 7, 2026
441 N CENTRAL AVE STE 2A, CAMPBELL, CA 95008(408) 370-7731 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Apr 12, 2022 (2 updates tracked since 2022).

About Jemimah Chan Rd NPPES

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

JEMIMAH CHAN RD (NPI 1982346532) is an individual dietitian, registered in Campbell, California, licensed in California (86084885) and active in the NPI registry since April 2022. She has opted out of Medicare through August 7, 2026.

NPPES Registry Identity

NPI1982346532
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJEMIMAH CHANCredential: RD
Location Address441 N CENTRAL AVE STE 2ACampbell, CA 95008-1428
Mailing Address987 University Ave Ste 22Los Gatos, CA 95032-7640
Phone(408) 370-7731
Sole ProprietorNo
Enumeration DateApril 12, 2022
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1982346532 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 · 86084885
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.
441 N CENTRAL AVE STE 2A, Campbell, CA 95008
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jemimah Chan Rd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 7, 2024 through August 7, 2026.

Opt-Out Effective DateAugust 7, 2024
Opt-Out In Effect ThroughAugust 7, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

VANESSA GRASSO RD
Dietitian, Registered
441 N CENTRAL AVE STE 2A
CAMPBELL, CA 95008
Santa Clara County (408) 370-7731
LAURA TODD
Counselor (Mental Health)
441 N CENTRAL AVE STE 2A
CAMPBELL, CA 95008
Santa Clara County (669) 256-0581
BAY AREA NUTRITION, LLC
Dietitian, Registered
441 N CENTRAL AVE STE 2A
CAMPBELL, CA 95008
Santa Clara County (408) 370-7731
STEPHANIE DAWN BROOKS MS, RD, CEDRD
Dietitian, Registered
441 N CENTRAL AVE STE 2A
CAMPBELL, CA 95008
Santa Clara County (408) 370-7731

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 Jemimah Chan's NPI number?

The NPI number for Jemimah Chan is 1982346532. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Jemimah Chan located?

Jemimah Chan practices at 441 N Central Ave Ste 2A, Campbell, CA 95008. The listed phone number is (408) 370-7731.

What is Jemimah Chan's specialty?

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

Is Jemimah Chan enrolled in Medicare?

No. Jemimah Chan has opted out of Medicare through August 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jemimah Chan was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.