San Diego Center for Regenerative Medicine

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

A82629 Issued in CA

Legal business name

SAN DIEGO CENTER FOR REGENERATIVE MEDICINE

Practice address

3142 Vista Way Ste 207
Oceanside, CA 92056-3628

Phone

(760) 610-0522

Fax

(949) 612-2727

NPI assigned

May 13, 2016

Last updated

May 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Miller, M.D.NPI 1265473474

Title

President

Phone

(760) 610-0522

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason M. Miller, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Camp Pendleton, CA
  • NPI 1265473474
  NPD (past) Authorized official
• Tara Yuan, MD

  • Psychosomatic Medicine Physician
  • Mission Viejo, CA
  • NPI 1124101647
  NPD (past)

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1366898900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N EL CAMINO REAL # A389",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726740",
            "telephone_number": "760-610-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY STE 207",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563628",
            "telephone_number": "760-610-0522",
            "fax_number": "949-612-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO CENTER FOR REGENERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-610-0522",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A82629",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A82629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pargol Samani
• Michael R Samko, PHD
• Jose Eligio Samson, NURSE PRACTITIONER
• Octavia Samuel
• San Clemente Medi-Center
• San Diego Diagnostic Radiology Medical Group, Inc.
• San Diego Health & Human Services
• San Diego Medical Staffing & Home Healthcare Services, LLC
• San Diego Psychotherapy and Wellness Center Inc.
• San Diego Vamc

• Multi-Specialty Clinic/Center in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.