Regenerative Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGENERATIVE MEDICAL GROUP INC

Practice address

615 E Chapman Ave
Orange, CA 92866-1643

Phone

(714) 639-4012

Fax

(714) 639-4018

NPI assigned

May 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bryn J Henderson, MDNPI 1447296694

Title

Director

Phone

(714) 981-8058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryn Jarald Henderson, D.O.

  • Family Medicine Physician
  • Orange, CA
  • NPI 1447296694
  Medicare reassignment Authorized official
• Jenna Knapp

  • Physician Assistant
  • Orange, CA
  • NPI 1528885449
  Medicare reassignment NPD
• Byounghi A Lee, NP

  • Family Nurse Practitioner
  • Irvine, CA
  • NPI 1982935573
  NPD (past)
• Robert W Orr, MD

  • Cardiovascular Disease Physician
  • El Cajon, CA
  • NPI 1598734550
  NPD (past)
• Deanna C Windham, D.O.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1295808749
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1013328277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661643",
            "telephone_number": "714-639-4012",
            "fax_number": "714-639-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661643",
            "telephone_number": "714-639-4012",
            "fax_number": "714-639-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-981-8058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Reeve
• Christopher M Reeves, PHARM.D.
• Jacob Eli Ref
• Daniela Regalado, PHARM. D
• Tanvi Regalla
• Regenerative Medical Group Inc
• Regents of the University of
• Regents of the University of
• Regents of the University of
• Regents of the University of Calif

• Family Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.