Organization Active NPI

California Integrative Medicine, Inc.

Doing business as Center for Regenerative Medicine

  • Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1205462389
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CALIFORNIA INTEGRATIVE MEDICINE, INC.
Doing business as
Center for Regenerative Medicine
Practice address
1850 Tice Valley Boulevard
Walnut Creek, CA 94595-2224
Phone
(925) 310-7836
Fax
(925) 405-0965
NPI assigned
Mar 20, 2020
Reactivated
Mar 19, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Brian ThomasonNPI 1538462833
Title
Vice President/Secretary
Phone
(925) 222-0491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X
General Practice Physician 208D00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1850 Tice Valley Boulevard
Walnut Creek, CA 94595-2224

Mailing address

1850 Tice Valley Boulevard
Walnut Creek, CA 94595-2224
Phone (925) 310-7836

Other names 1

  • Center for Regenerative Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1205462389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 TICE VALLEY BOULEVARD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952224",
            "telephone_number": "925-310-7836",
            "fax_number": "925-405-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TICE VALLEY BOULEVARD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952224",
            "telephone_number": "925-310-7836",
            "fax_number": "925-405-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA INTEGRATIVE MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "deactivation_date": "2021-02-09",
        "reactivation_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "925-222-0491"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.