IV Regeneration Room

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

IV REGENERATION ROOM

Practice address

4533 Macarthur Blvd Ste A109
Newport Beach, CA 92660-2059

Phone

(949) 216-0117

NPI assigned

Aug 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sanjai Thankachen, MD

Title

Medical Director

Phone

(949) 324-9300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1205519519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 MACARTHUR BLVD STE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602061",
            "telephone_number": "949-216-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 MACARTHUR BLVD STE A109",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602059",
            "telephone_number": "949-216-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV REGENERATION ROOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "THANKACHEN",
        "authorized_official_first_name": "SANJAI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-324-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Infusion Agency in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Home Infusion Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.