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

Amber James Wagstaff, RDN

Individual provider Registered Dietitian · NPI 1093313603

Amber James Wagstaff, RDN is a Registered Dietitian OR Nutrition Professional in Canyon Lake, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

23320 Canyon Lake Dr N
Canyon Lake, CA 92587-8007
Phone: (714) 809-2993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (CA)

Record details

NPI number1093313603
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedOctober 15, 2020
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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