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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACY WAGNER

Active Sole Proprietor

Registered Dietitian · MISSION VIEJO, CA

Registration Details

NPI Number
1679444756
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2025 (0.60628102965661 yrs)
Last Updated
Sep 13, 2025
Licenses
936900 (CA)
926900 (CA)
Sole Proprietor
Yes

Practice Information

Address
27216 REGIO
MISSION VIEJO, CA, 926923287
Browse CA providers · Browse ZIP 92692
Phone
5133777938
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in MISSION VIEJO, CA

Name Credential NPI
CHRISTINE L COY MS, RD 1245218437
MARTHA JEAN GRAY RD 1366544108
SARAH HEWITT MATHOT MS, RD 1700913837
LORI GELGUR R.D. 1194975243
JOANNE DEMARCHI MA, RD, IBCLC 1245479047
ALEXANDRA MARK MS, RD 1760615322
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.