Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jackeline Beatriz Lopez, PA-C, RDN

Individual provider Registered Dietitian · NPI 1295246692

MS. Jackeline Beatriz Lopez, PA-C, RDN is a Registered Dietitian in Fontana, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

16465 Sierra Lakes Pkwy Ste 300
Fontana, CA 92336-1242
Phone: (909) 429-2864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62965 (CA)
Registered Dietitian Taxonomy 133V00000X · Licence 86026975 (CA)
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X · Licence 86026975 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295246692
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RDN
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

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