JESSICA B. DEFALCO RD
NPI 1992429526
Dietitian, Registered in Fountain Valley, CA

Active since September 27, 2022Accepts Medicare Assignment
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(714) 822-1334(714) 665-4610 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica B. Defalco Rd NPPES

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

JESSICA B. DEFALCO RD (NPI 1992429526) is an individual dietitian, registered in Fountain Valley, California, licensed in California (86290310) and active in the NPI registry since September 2022. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1992429526
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJESSICA B. DEFALCOCredential: RD
Location Address17360 BROOKHURST STFountain Valley, CA 92708
Mailing Address17360 Brookhurst StFountain Valley, CA 92708 · (714) 822-1334 · Fax (714) 665-4610
Fax(714) 665-4610
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 27, 2022
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1992429526 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 · 86290310
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.
17360 BROOKHURST ST, Fountain Valley, CA 92708

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

Jessica B. Defalco 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 ID9234647165
PECOS Enrollment IDI20250801003600

Medicare Billing Reassignment

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

Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Hospitalist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Pharmacist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Dietitian, Registered
17360 BROOKHURST ST, ATTN: REGISTERED DIETITIAN DEPARTMENT
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Pediatrics
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner (Family)
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

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 Jessica Defalco's NPI number?

The NPI number for Jessica Defalco is 1992429526. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Jessica Defalco located?

Jessica Defalco practices at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (714) 822-1334.

What is Jessica Defalco's specialty?

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

Is Jessica Defalco enrolled in Medicare?

Yes. Jessica Defalco 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 Jessica Defalco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Defalco reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, 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 Jessica Defalco'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 Jessica Defalco was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.