Individual provider · Type 1 NPI

Lisa De Fazio, R.D.

Registered Dietitian · Thousand Oaks, CA

NPI number 1154597623 Active

Practice location

415 Rolling Oaks Dr, Suite 210
Thousand Oaks, CA 91361-1029

Call (805) 299-0301 Map

Mailing address

415 Rolling Oaks Dr Ste 210
Thousand Oaks, CA 91361-1044

Other practice locations

  • 2220 E Gonzales Rd Ste 120A-B, Oxnard, CA 93036-3707 · (805) 981-5150

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X859439 (CA)

Registered Dietitian: 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…

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About NPI 1154597623

Lisa De Fazio, R.D.'s National Provider Identifier is 1154597623, issued on May 5, 2008. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Thousand Oaks, CA. The record was last updated on Nov 18, 2025.