Organization Active NPI

Regg V. Antle, M. D.

  • Ophthalmologic Surgery Clinic/Center
  • Vista, CA
National Provider Identifier
1073709598
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
C30527 Issued in CA
Legal business name
REGG V. ANTLE, M. D.
Practice address
2023 W Vista Way Ste F
Vista, CA 92083-6030
Phone
(760) 726-6451
Fax
(760) 726-4822
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Regg V. Antle, M.D.
Title
M.D.
Phone
(760) 726-6451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X C30527 CA Primary

Addresses

Primary practice location

2023 W Vista Way Ste F
Vista, CA 92083-6030

Mailing address

2023 W Vista Way Ste F
Vista, CA 92083-6030
Phone (760) 726-6451

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1073709598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "760-726-6451",
            "fax_number": "760-726-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE F",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "760-726-6451",
            "fax_number": "760-726-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGG V. ANTLE, M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "ANTLE",
        "authorized_official_first_name": "REGG",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "760-726-6451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "C30527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.