Regenass Healthcare Group

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

REGENASS HEALTHCARE GROUP

Practice address

1910 S Archibald Ave Ste M2
Ontario, CA 91761-8502

Phone

(909) 348-2556

Fax

(877) 615-1555

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Dominador Mansat Jr., FNP-C

Title

Cfo

Phone

(909) 348-3067

Specialties & licenses 1

Addresses

Other names 1

• Serenite Wellness Medicine Doing business as

Locations

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1104516350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 RETREAT PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917309200",
            "telephone_number": "909-348-3067",
            "fax_number": "877-615-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S ARCHIBALD AVE STE M2",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618502",
            "telephone_number": "909-348-2556",
            "fax_number": "877-615-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENASS HEALTHCARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "MANSAT",
        "authorized_official_first_name": "DOMINADOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-348-3067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenite Wellness Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judi Reed
• Lynnise Reed
• Reena Khullar DDS and Puneet Wadhwa
• Gerardo Albert Regalado, FNP
• Perla Regalado
• Micah Reglos
• Alejandra Rejin
• John Anthony Remsing
• Renaissance Radiology Med GRP Inc
• Renal Treatment Centers California Inc

• Obesity Medicine (Preventive Medicine) Physician in Ontario, CA
• Providers in Ontario, CA by specialty
• Obesity Medicine (Preventive Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.