Southern California Regenerative Medical Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SOUTHERN CALIFORNIA REGENERATIVE MEDICAL INC

Practice address

2111 S El Camino Real Ste 200
Oceanside, CA 92054-9000

Phone

(760) 722-3202

Fax

(760) 979-0018

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Minu Sharma, MD

Title

Chairman

Phone

(760) 722-3202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Lee Harper, D.C.

  • Chiropractor
  • Oceanside, CA
  • NPI 1356395669
  NPD

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1174097612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 S EL CAMINO REAL STE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920549000",
            "telephone_number": "760-722-3202",
            "fax_number": "760-979-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S EL CAMINO REAL STE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920549000",
            "telephone_number": "760-722-3202",
            "fax_number": "760-979-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA REGENERATIVE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "MINU",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "760-722-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona M Soto
• Kathy Soumountha
• Sound Balance Audiology, Inc
• Sound Balance Audiology, Inc.
• Heather Marie Southard
• Alice J Southworth, BSN, PHN, MS
• Lauren Spaeth, OTR/L
• Lindsey Sparacino
• Jeremiah Jason Sparks, D.D.S., M.S.
• Natalie Spear, MASSAGE THERAPIST

• Pain Medicine Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.