Individual provider Active NPI

Ma. Regina Blanca C Robles, L.AC., DAOM

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1184386419
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19279 Issued in CA
Practice address
1011 Camino del Rio S Ste 100
San Diego, CA 92108-3532
Phone
(619) 915-6007
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 19279 CA Primary

Addresses

Primary practice location

1011 Camino del Rio S Ste 100
San Diego, CA 92108-3532

Mailing address

6812 Panamint Row Unit 6
San Diego, CA 92139-2812
Phone (619) 325-9974

Other names 1

  • Dr. RB Robles Professional name

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

LicenseStateTypeSpecialty
19279CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Om Acupuncture Wellness, Inc Acupuncturist CurrentSince Oct 30, 2022 Accepting new patients

Locations

1011 Camino del Rio S
Ste 100
San Diego, CA 92108
Phone (619) 915-6007

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1184386419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 PANAMINT ROW UNIT 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392812",
            "telephone_number": "619-325-9974",
            "fax_number": "619-399-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CAMINO DEL RIO S STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083532",
            "telephone_number": "619-915-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "MA. REGINA BLANCA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "L.AC., DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-10-23",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RB",
            "last_name": "ROBLES",
            "prefix": "DR.",
            "credential": "L. AC., DAOM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.