Active NPI
Regin Clenn Ortiz, CLS
- Medical Laboratory Technician
- Vista, CA
National Provider Identifier
1215687819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Laboratory Technician
- License
- MTA01006386
- Practice address
- 846 Townsite Dr
Vista, CA 92084-5566 - Phone
- (760) 586-1015
- NPI assigned
- Mar 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | MTA01006386 | CA | Primary |
Addresses
Primary practice location
846 Townsite Dr
Vista, CA 92084-5566
Mailing address
846 Townsite Dr
Vista, CA 92084-5566
Phone (760) 586-1015
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
| License | State | Type | Specialty |
|---|---|---|---|
| MTA01006386 | CA | MD | Medical Laboratory Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1215687819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "846 TOWNSITE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920845566",
"telephone_number": "760-586-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "846 TOWNSITE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920845566",
"telephone_number": "760-586-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "REGIN CLENN",
"credential": "CLS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "CA",
"license": "MTA01006386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.