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

Individual provider Registered Dietitian · NPI 1154597623

Lisa De Fazio, RD is a Registered Dietitian in Thousand Oaks, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

415 Rolling Oaks Dr Ste 210
Thousand Oaks, CA 91361-1029
Phone: (805) 299-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 859439 (CA)

Record details

NPI number1154597623
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedMay 5, 2008
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

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