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

Justin Matthew Waller, RDN

Individual provider Registered Dietitian · NPI 1699499335

Justin Matthew Waller, RDN is a Registered Dietitian in San Luis Obispo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

500 E Foothill Blvd Apt 5
San Luis Obispo, CA 93405-1629
Phone: (916) 402-6914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86119710 (CA)

Record details

NPI number1699499335
Entity typeIndividual (Type 1)
GenderMale
Credentials RDN
Sole proprietorYes
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

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