Regin Sobrepena Gallardo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95211057 Issued in CA

Practice address

1911 Williams Dr Ste 110
Oxnard, CA 93036-2665

Phone

(805) 981-4200

NPI assigned

Mar 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Ventura

  • Community/Behavioral Health Agency
  • Oxnard, CA
  • NPI 1518189158
  NPD
• County of Ventura

  • Community/Behavioral Health Agency
  • Simi Valley, CA
  • NPI 1609098243
  NPD (past)

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1083249882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 2B ST S APT 20",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054231",
            "telephone_number": "408-784-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR STE 110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362665",
            "telephone_number": "805-981-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "REGIN",
        "middle_name": "SOBREPENA",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95211057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Manuel Galicia
• Jaime Castellanos Galindo
• Maria del Carmen Galindo
• Ashlee Gallard
• Laura Alice Gallardo, M.A., L.M.F.T.
• Sandra Gallegos Reyes
• Alfred Gallegos
• Angela Gallegos
• Kristine Joanne Gallegos, LVN
• Juan Miguel Galvan

• Registered Nurse in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.