Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Janis Kim, RD

Individual provider Registered Dietitian · NPI 1972283521

Janis Kim, RD is a Registered Dietitian OR Nutrition Professional in San Rafael, California. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

99 Montecillo Rd
San Rafael, CA 94903-3308
Phone: (415) 444-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86295623 (CA)

Record details

NPI number1972283521
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address99 Montecillo Rd, San Rafael, CA 94903-3308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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