NPIMap

Individual provider Active NPI

Heidi Regenass, M.D.

  • Plastic Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1225258965
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C165083 Issued in CA
Practice address
1945 E 17TH St Ste 107
Santa Ana, CA 92705-6862
Phone
(714) 500-7714
NPI assigned
Apr 26, 2007
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Surgery) Physician 2086H0002X C165083 CA
Plastic Surgery Physician 208200000X C165083 CA Primary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X C165083 CA

Addresses

Primary practice location

1945 E 17TH St Ste 107
Santa Ana, CA 92705-6862

Mailing address

1501 Westcliff Dr Ste 303
Newport Beach, CA 92660-5519
Phone (949) 503-9621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Utah School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1101 E Broadway
Suite 103
Glendale, CA 91205-1383

1953 San Bruno
Newport Beach, CA 92660-4536

27125 Sierra Hwy
Suite 325
Santa Clarita, CA 91351

6400 Shafer CT
Suite 700
Rosemont, IL 60018-4994

PO Box
Suite 1925
Huntington Beach, CA 92647

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Removal of tissue43
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C165083CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Body of Beverly Hills Wellness Inc Multi-Specialty Current Accepting new patients
Arizona Skin and Laser Therapy Institute, LTD Multi-Specialty Current Accepting new patients
Arizona Skin and Laser Therapy Institute, LTD Multi-Specialty Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Banner Estrella Medical Center Multi-Specialty Past Accepting new patients
Seasons Hospice & Palliative Care of California- San Bernardino, LLC Family Medicine Past Accepting new patients
Inland Empire Integrated Pain Management Center Inc Multi-Specialty PastSince Mar 1, 2021 Accepting new patients
Honorhealth Past Accepting new patients
Life Tree Hospice, Inc Family Medicine PastSince Nov 21, 2024 Accepting new patients
Utah Cancer Specialists PC Multi-Specialty PastSince Nov 30, 2025 Accepting new patients

Locations

2224 W Northern Ave
Ste D300
Phoenix, AZ 85021
Phone (602) 277-1449

4835 E Cactus Rd
Ste 155
Scottsdale, AZ 85254
Phone (602) 996-3050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1225258965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WESTCLIFF DR STE 303",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605519",
            "telephone_number": "949-503-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 E 17TH ST STE 107",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056862",
            "telephone_number": "714-500-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGENASS",
        "first_name": "HEIDI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086H0002X",
            "taxonomy_group": "",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "C165083",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C165083",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "C165083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.