Active NPI
Blessie Dela Cruz Regala
- Pharmacist
- Mission Viejo, CA
National Provider Identifier
1104438167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68528
- Practice address
- 24000 Alicia Pkwy Ste 9
Mission Viejo, CA 92691-3929 - Phone
- (949) 354-9692
- NPI assigned
- Aug 20, 2020
- Last updated
- Oct 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 57813 | CA | |
| Pharmacist | 183500000X | 68528 | CA | Primary |
Addresses
Primary practice location
24000 Alicia Pkwy Ste 9
Mission Viejo, CA 92691-3929
Mailing address
24000 Alicia Pkwy Ste 9
Mission Viejo, CA 92691-3929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68528 | CA | MD | Pharmacist |
| 57813 | CA | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessie Regala | Community/Retail Pharmacy | Current | Accepting new patients |
Locations
24000 Alicia Pkwy
Ste 9
Mission Viejo, CA 92691
Phone (949) 354-9692
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604102400000",
"number": "1104438167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24000 ALICIA PKWY STE 9",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24000 ALICIA PKWY STE 9",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913929",
"telephone_number": "949-354-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGALA",
"first_name": "BLESSIE",
"middle_name": "DELA CRUZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-10-31",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "57813",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "68528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.