Healthcare Provider Details

I. General information

NPI: 1861979742
Provider Name (Legal Business Name): CAMBIATI WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3446 MT. DIABLO BLVD.
LAFAYETTE CA
94549-9454
US

IV. Provider business mailing address

3446 MT DIABLO BLVD
LAFAYETTE CA
94549-3912
US

V. Phone/Fax

Practice location:
  • Phone: 925-280-4442
  • Fax:
Mailing address:
  • Phone: 925-280-4442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: REBECCA A WALKER
Title or Position: MANAGING PARTNER
Credential: CNC
Phone: 925-478-4989