Organization Active NPI

Sports and Regeneration Medicine Institute Inc

  • Health Service Clinic/Center
  • Manhattan Beach, CA
National Provider Identifier
1255044277
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SPORTS AND REGENERATION MEDICINE INSTITUTE INC
Practice address
1200 Rosecrans Ave Ste 110
Manhattan Beach, CA 90266-2470
Phone
(424) 220-4400
Fax
(424) 220-8344
NPI assigned
Jan 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Ronna Parsa, DO
Title
Owner
Phone
(424) 220-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1200 Rosecrans Ave Ste 110
Manhattan Beach, CA 90266-2470

Mailing address

1200 Rosecrans Ave Ste 110
Manhattan Beach, CA 90266-2470
Phone (424) 220-4400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1255044277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 110",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "424-220-4400",
            "fax_number": "424-220-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 110",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "424-220-4400",
            "fax_number": "424-220-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND REGENERATION MEDICINE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "PARSA",
        "authorized_official_first_name": "RONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-220-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.