Regis Francis Fallon, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

G60107 Issued in CA

Practice address

14229 Palisades Dr
Poway, CA 92064-6461

Phone

(858) 679-9201

Fax

(858) 486-1741

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366657355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500030",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921500030",
            "telephone_number": "858-679-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14229 PALISADES DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920646461",
            "telephone_number": "858-679-9201",
            "fax_number": "858-486-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "REGIS",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G60107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G601070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE CA",
            "identifier": "G60107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Evenson, CPNP
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• Cecile Teodoro Fajardo, D.O.
• Victoria Lynne Falasco, PA-C
• Falvey Chiropractic Corporation
• Family Allergy, Asthma, Immunology & Sinus Center P.C.
• Family Chiropractic Center
• Li Fan, M.D.
• Yuchen Fang

• Sports Medicine (Orthopaedic Surgery) Physician in Poway, CA
• Providers in Poway, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.