Jessica B. Defalco, RD
NPI 1992429526ActiveIndividual· Dietitian, Registered· Fountain Valley, CA
Dietitian, Registered (RD) with Memorialcare Medical Foundation, practicing in Fountain Valley, California. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1992429526 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Sep 27, 2022 |
| Last updated in NPPES | Jul 18, 2025 |
| Certified by provider | Jul 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86290310 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (CA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Memorialcare Medical FoundationLong Beach, CA · 566 clinicians
Other Dietitian, Registered providers in Fountain Valley
- 1952787061
- 1164466207
- 1184802373
- 1386083475
- 1821676214
- 1497121636
- 1821615121
- 1770252470
- 1881063121
- 1841622214
- 1134712748
- 1952741142