Individual provider Active NPI

Regina Felicia Parker, CPT1

  • Pathology Technician
  • Victorville, CA
National Provider Identifier
1144804576
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology TechnicianTaxonomy code 246R00000X
License
CPT00069348 Issued in CA
Practice address
15000 7TH St Ste 212D
Victorville, CA 92395-3852
Phone
(626) 788-1230
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X CPT00069348 CA
Pathology Technician 246R00000X CPT00069348 CA Primary

Addresses

Primary practice location

15000 7TH St Ste 212D
Victorville, CA 92395-3852

Mailing address

10770 Joshua St
Adelanto, CA 92301-4124
Phone (760) 623-5535

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PHLEBLIFE21@GMAIL.COM Health Information Exchange (HIE)

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1144804576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 JOSHUA ST",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923014124",
            "telephone_number": "760-623-5535",
            "fax_number": "800-708-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 7TH ST STE 212D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953852",
            "telephone_number": "626-788-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "REGINA",
        "middle_name": "FELICIA",
        "credential": "CPT1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT00069348",
            "primary": false
        },
        {
            "code": "246R00000X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology",
            "state": "CA",
            "license": "CPT00069348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PHLEBLIFE21@GMAIL.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15000 7th St Ste 212D",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923953852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.