Nowysz Regenerative Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NOWYSZ REGENERATIVE MEDICINE PC

Doing business as

Center For Regeneration

Practice address

55887 Yucca TRL
Yucca Valley, CA 92284-2546

Phone

(760) 365-0804

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Christian ReichardtNPI 1710101407

Title

Manager

Phone

(310) 600-8872

Specialties & licenses 1

Addresses

Other names 1

• Center For Regeneration Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christian Herman Reichardt, D.C.

  • Sports Physician Chiropractor
  • Santa Monica, CA
  • NPI 1710101407
  NPD Authorized official
• William Nowysz, DO

  • Emergency Medicine Physician
  • Des Moines, IA
  • NPI 1922192806
  NPD

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1154970317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55887 YUCCA TRL",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842546",
            "telephone_number": "760-365-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55887 YUCCA TRL",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842546",
            "telephone_number": "760-365-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOWYSZ REGENERATIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "REICHARDT",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-600-8872",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Regeneration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Charles Norman, PA-C
• Marjan Norouzzadeh
• Kym North
• Douglas D Norton
• Harvey C Norton
• Kendrick Nunez Robles, FNP-C, ENP-C
• Nora L Nunez
• Brad K Nyman, LCSW
• Karmolette O'Gilvie, RN
• Patricia Olguin Sanchez

• Family Medicine Physician in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.