AMBER JAMES WAGSTAFF RDN
NPI 1093313603
Dietitian, Registered in Canyon Lake, CA

Active since October 15, 2020
23320 CANYON LAKE DR N, CANYON LAKE, CA 92587(714) 809-2993 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amber James Wagstaff Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER JAMES WAGSTAFF RDN (NPI 1093313603) is an individual dietitian, registered in Canyon Lake, California and active in the NPI registry since October 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1093313603
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMBER JAMES WAGSTAFFCredential: RDN
Location Address23320 CANYON LAKE DR NCanyon Lake, CA 92587-8007
Mailing Address23320 Canyon Lake Dr NCanyon Lake, CA 92587-8007
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
NPI 1093313603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition

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.

23320 CANYON LAKE DR N, Canyon Lake, CA 92587

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amber James Wagstaff Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254786114
PECOS Enrollment IDI20231012000909

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face wi G0270
Medical Nutrition Therapy (MNT) reassessment involves reviewing your dietary needs due to a change in your medical condition or treatment. This may include additional hours for kidney disease. This is a one-on-one, face-to-face service to ensure your diet aligns with your health needs.
80 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Wagstaff's NPI number?

The NPI number for Amber Wagstaff is 1093313603. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Amber Wagstaff located?

Amber Wagstaff practices at 23320 Canyon Lake Dr N, Canyon Lake, CA 92587. The listed phone number is (714) 809-2993.

What is Amber Wagstaff's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amber Wagstaff enrolled in Medicare?

Yes. Amber Wagstaff is registered in the Medicare PECOS enrollment system.

What insurance does Amber Wagstaff accept?

Health plans from Blue Cross Blue Shield of Arizona list Amber Wagstaff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amber Wagstaff was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.