Regina M Ottem, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

12322 Issued in CA

Practice address

4311 3Rd Ave
San Diego, CA 92103-1407

Phone

(619) 688-1600

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Orohealth Corporation a Non Profit Healthcare System

  • Family Medicine Physician
  • Oroville, CA
  • NPI 1013933167

  CA

  Medicare reassignment NPD
• Freedom Home Health and Hospice Care Services Inc.

  • Community Based Hospice Care Agency
  • Marysville, CA
  • NPI 1043636293

  CA

  Medicare reassignment
• Oroville Hospital

  • Rural Health Clinic/Center
  • Oroville, CA
  • NPI 1740583095
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386794469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031407",
            "telephone_number": "619-688-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031407",
            "telephone_number": "619-688-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEM",
        "first_name": "REGINA",
        "middle_name": "M",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "12322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sufian Otoum, PHARM D
• Kristyn Therese Otsuka, LCSW
• Heather Lynn Ott, MS, RDN
• Kenneth Ott, M.D
• Brianna Otte
• Travis Ryan Otteson
• Otto Bock Patient Care, LLC
• Ethan Ou
• Jasmine Ou, OTR/L
• Jennie C Ou, M.D.

• All providers in San Diego, CA
• Adult Health Nurse Practitioner 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.