1. Home
  2. Directory
  3. California
  4. Thousand Oaks
  5. Dietitian Registered
  6. NPI Profile

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

Active since May 05, 2008
415 ROLLING OAKS DR, SUITE 210, THOUSAND OAKS, CA 91361(805) 299-0301 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa De Fazio R.d. NPPES

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

LISA DE FAZIO R.D. (NPI 1154597623) is an individual dietitian, registered in Thousand Oaks, California, licensed in California (859439) and active in the NPI registry since May 2008. She maintains a secondary practice location in Oxnard.

NPPES Registry Identity

NPI1154597623
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLISA DE FAZIOCredential: R.D.
Location Address415 ROLLING OAKS DR, SUITE 210Thousand Oaks, CA 91361-1029
Mailing Address415 Rolling Oaks Dr Ste 210Thousand Oaks, CA 91361-1044 · (805) 299-0301
Phone(805) 299-0301
Sole ProprietorYes
Enumeration DateMay 5, 2008
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1154597623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 859439
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.
415 ROLLING OAKS DR, Thousand Oaks, CA 91361
Open in Google Maps ↗

Other Names 1

Professional Name (2)Lisa De Fazio-gamityan M.s., R.d.

Secondary Practice Location 1

Location 12220 E Gonzales Rd Ste 120A-BOxnard, CA 93036-3707 · Phone (805) 981-5150

Other Identifiers 1

Other859439CA · Dietetic Registration

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROLLING OAKS SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
415 ROLLING OAKS DR, SUITE 115
THOUSAND OAKS, CA 91361
Los Angeles County (805) 373-7073
JEFFREY FEINFIELD, M.D. INC
Specialist
415 ROLLING OAKS DR, SUITE 190
THOUSAND OAKS, CA 91361
Los Angeles County (805) 494-4797
DR. FARIDEH KOHANGHADOSH D.D.S.
Dentist
415 ROLLING OAKS DR, SUITE 120
THOUSAND OAKS, CA 91361
Los Angeles County (805) 449-9952
MICHAEL T MOSHER M.D.
Allergy & Immunology (Allergy)
415 ROLLING OAKS DR, SUITE 280
THOUSAND OAKS, CA 91361
Los Angeles County (805) 496-8522
PUSH MIDWIFERY
Clinic/Center (Birthing)
415 ROLLING OAKS DR, SUITE 190
THOUSAND OAKS, CA 91361
Los Angeles County (805) 494-1333
DR. LOUISE GARCIA M.D.
Obstetrics & Gynecology
415 ROLLING OAKS DR, SUITE 200
THOUSAND OAKS, CA 91361
Los Angeles County (805) 777-7009
DR. DONALD EDMOND DECKER M.D.
Radiology (Diagnostic Radiology)
415 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
Los Angeles County (805) 778-1513
MR. ROBERT ALAN PRINCENTHAL MD
Radiology (Diagnostic Radiology)
415 ROLLING OAKS DR
THOUSAND OAKS, CA 91361
Los Angeles County (805) 778-1513

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 Lisa De Fazio's NPI number?

The NPI number for Lisa De Fazio is 1154597623. It was assigned to this individual provider in the NPPES registry on May 5, 2008. The provider is also known as Lisa De Fazio-Gamityan M.S., R.D..

Where is Lisa De Fazio located?

Lisa De Fazio practices at 415 Rolling Oaks Dr Suite 210, Thousand Oaks, CA 91361. The listed phone number is (805) 299-0301.

What is Lisa De Fazio's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa De Fazio was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.