Active NPI
Regg V. Antle, M. D.
- Ophthalmologic Surgery Clinic/Center
- Vista, CA
National Provider Identifier
1073709598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- C30527
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.