Healthcare Provider Details

I. General information

NPI: 1467329458
Provider Name (Legal Business Name): RACHEL SCHEIDLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL MARTIN RD

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 ALBATROSS ST
SAN DIEGO CA
92103-5501
US

IV. Provider business mailing address

5850 ASTER MEADOWS PL
SAN DIEGO CA
92130-6909
US

V. Phone/Fax

Practice location:
  • Phone: 858-353-3351
  • Fax:
Mailing address:
  • Phone: 858-353-3351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number1084523
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number1084523
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number1084523
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: