Renew PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

RENEW PC

Practice address

30230 Rancho Viejo Rd Ste 134
San Juan Capistrano, CA 92675-1585

Phone

(949) 478-1411

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Dall, MDNPI 1932563533

Title

Owner

Phone

(949) 702-6736

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanya Dall, MD

  • Emergency Medicine Physician
  • San Juan Capistrano, CA
  • NPI 1932563533
  NPD Authorized official
• Justin Lee Yanuck, M.D.

  • Emergency Medicine Physician
  • Downey, CA
  • NPI 1235592478
  NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1386353126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SPUR ST",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941614",
            "telephone_number": "949-702-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD STE 134",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751585",
            "telephone_number": "949-478-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "DALL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-702-6736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235592478",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carlos H Restrepo, D.D.S.
• Ralf V Reuland, MD
• Nadia Rezaiamiri, D.D.S.
• Kaveh N Rezvan, D.O.

• Emergency Medicine Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.