IndividualActive
Justin Waller, RDN
NPI 1699499335 · Registered Dietitian · San Luis Obispo, CA
Justin Waller, RDN is a Registered Dietitian provider in San Luis Obispo, CA (NPI 1699499335).
Provider details
- NPI number
- 1699499335
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 86119710 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 E Foothill Blvd Apt 5
San Luis Obispo, CA 93405-1629
Phone: (916) 402-6914
Street-level locationGet directions
Mailing address
500 E Foothill Blvd Apt 5
San Luis Obispo, CA 93405-1629
Registry dates
- Enumerated
- 2022-09-27
- Last updated
- 2022-09-27
- Certified
- 2022-09-27
Frequently asked questions
- What is Justin Waller's NPI number?
- Justin Waller's National Provider Identifier (NPI) is 1699499335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Waller's specialty?
- Justin Waller is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Justin Waller located?
- Justin Waller's practice location on file with NPPES is 500 E Foothill Blvd Apt 5, San Luis Obispo, CA 93405-1629.
- What is Justin Waller's phone number?
- The practice phone number listed in the NPPES registry for Justin Waller is (916) 402-6914.
- Is Justin Waller's NPI active?
- Yes — Justin Waller's NPI (1699499335) is active in the NPPES registry as of the last update on 2022-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.