LISA DE FAZIO R.D.
NPI 1154597623
Dietitian, Registered in Thousand Oaks, CA

NPI Status: Active since May 05, 2008

Contact Information

415 ROLLING OAKS DR
SUITE 210
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 299-0301

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  • Individual
  • Female
  • Dietitian, Registered

About LISA DE FAZIO

This page provides the complete NPI Profile along with additional information for Lisa De Fazio, a provider established in Thousand Oaks, California with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1154597623 assigned on May 2008. The practitioner's primary taxonomy code is 133V00000X with license number 859439 (CA). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1154597623
Provider Name
LISA DE FAZIO R.D.
Other Name
LISA DE FAZIO-GAMITYAN M.S., R.D.
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
415 ROLLING OAKS DR SUITE 210 THOUSAND OAKS, CA 91361
Location Phone
(805) 299-0301
Mailing Address
415 ROLLING OAKS DR SUITE 210 THOUSAND OAKS, CA 91361
Mailing Phone
(805) 299-0301
Is Sole Proprietor?
Yes
Enumeration Date
05-05-2008
Last Update Date
06-26-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
859439
License State
CA
Taxonomy Description
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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
859439OTHER (01)CADIETETIC REGISTRATION

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154597623
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041091464
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 9 + 1 + 4 + 6 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1154597623 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134232457DR. LOUISE GARCIA M.D.
Individual
Obstetrics & Gynecology415 ROLLING OAKS DR SUITE 200
THOUSAND OAKS, CA 91361
(805) 777-7009
1053417865 MICHAEL T MOSHER M.D.
Individual
Allergy & Immunology (Allergy)415 ROLLING OAKS DR SUITE 280
THOUSAND OAKS, CA 91361
(805) 496-8522
1922191733KRISTIN J. SANTANGELO, MD, A PROFESSIONAL CORPORATION
Organization
Urology415 ROLLING OAKS DR SUITE 260
THOUSAND OAKS, CA 91361
(805) 371-3770
1497820930 CLYDE KNOBLAUCH JR. DDS
Individual
Dentist (General Practice)415 ROLLING OAKS DR #215
THOUSAND OAKS, CA 91361
(805) 496-2456
1932225992 PATRICIA IRENE GLICK CRNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)415 ROLLING OAKS DR SUITE 260
THOUSAND OAKS, CA 91361
(805) 371-4700
1790996502MOJGAN HASHEMI-MOUSAVI DDS DENTAL INC.
Organization
Dentist (General Practice)415 ROLLING OAKS DR SUITE 120
THOUSAND OAKS, CA 91361
(805) 449-9952
1033312079DR. FARIDEH KOHANGHADOSH D.D.S.
Individual
Dentist415 ROLLING OAKS DR SUITE 120
THOUSAND OAKS, CA 91361
(805) 449-9952
1477780229AVIISHA MEDICAL CORPORATION
Organization
Internal Medicine415 ROLLING OAKS DR SUITE 210
THOUSAND OAKS, CA 91361
(323) 857-1682
1881665586DR. GLENN ERIC WALDMAN M.D.
Individual
Specialist415 ROLLING OAKS DR SUITE 190
THOUSAND OAKS, CA 91361
(805) 494-4797
1639122757ROLLING OAKS RADIOLOGY MEDICAL CORP CORPORATION
Organization
Radiology (Diagnostic Radiology)415 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
(805) 778-1513
1760431902 ROY GOTTLIEB D.O.
Individual
Radiology (Diagnostic Radiology)415 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
(805) 778-1513
1265481295MR. ROBERT ALAN PRINCENTHAL MD
Individual
Radiology (Diagnostic Radiology)415 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
(805) 778-1513
1629015474DR. KRISTIN JEAN SANTANGELO M.D.
Individual
Urology415 ROLLING OAKS DR SUITE 260
THOUSAND OAKS, CA 91361
(805) 371-3770
1134345622DR. DONALD EDMOND DECKER M.D.
Individual
Radiology (Diagnostic Radiology)415 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
(805) 778-1513
1003216276ROLLING OAKS SURGERY CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)415 ROLLING OAKS DR SUITE 115
THOUSAND OAKS, CA 91361
(805) 373-7073
1114396298PUSH MIDWIFERY
Organization
Clinic/Center (Birthing)415 ROLLING OAKS DR SUITE 190
THOUSAND OAKS, CA 91361
(805) 494-1333
1336205731 KYLE KENNYSTON HIMSL MD
Individual
Urology415 ROLLING OAKS DR SUITE 260
THOUSAND OAKS, CA 91361
(805) 371-4707
1316997810 JOSEPHINE LEE M.D.
Individual
Radiology (Diagnostic Radiology)415 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
(805) 778-1513
1588198790KIAVASH NIKKHOU MD INC
Organization
Urology415 ROLLING OAKS DR SUITE 260
THOUSAND OAKS, CA 91361
(805) 371-4707
1013047455JEFFREY FEINFIELD, M.D. INC
Organization
Specialist415 ROLLING OAKS DR SUITE 190
THOUSAND OAKS, CA 91361
(805) 494-4797

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154597623, enumerated in the NPI registry as an "individual" on May 05, 2008

The provider is located at 415 Rolling Oaks Dr Suite 210 Thousand Oaks, Ca 91361 and the phone number is (805) 299-0301

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 05, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.