Regenerate Ghods, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REGENERATE GHODS, INC

Practice address

6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458

Phone

(323) 438-2650

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Michael Farah

Title

Ceo

Phone

(310) 879-7167

Specialties & licenses 1

Addresses

Other names 1

• Regenerate The Future of Medicine Doing business as

Locations

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1205415882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WILSHIRE BLVD STE 208",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112328",
            "telephone_number": "323-438-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485458",
            "telephone_number": "323-438-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATE GHODS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-879-7167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerate The Future of Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regenerate The Future of Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Regalado, MD
• Karina Esmeralda Regalo
• Margaret Regan-Rainey, NP
• Daniel Regan
• Melissa B Regan, LMFT
• Regeneration Recovery and Reentry Services
• Regents of the Univ of Ca
• Regents of the Univ of Ca Emer Med
• Regents of the Univ of California
• Regents of the Univ of California

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.