Individual provider Active NPI

Rina Regala Ronquillo, M.D.

  • Pediatrics Physician
  • La Mesa, CA
National Provider Identifier
1407047749
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A99286 Issued in CA
Practice address
8881 Fletcher Pkwy Ste 205
La Mesa, CA 91942-3187
Phone
(619) 464-6434
Fax
(619) 464-5109
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A99286 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 205
La Mesa, CA 91942-3187

Mailing address

8881 Fletcher Pkwy Ste 205
La Mesa, CA 91942-3187
Phone (619) 464-6434

Other identifiers 1

IdentifierTypeStateIssuer
A99286OtherCAMEDICAL BOARD OF CALIFORN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99286CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients
Rady Children'S Hospital San Diego Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Philip D Szold MD Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rronquillo@borregomedical.directbygreenway.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1407047749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 205",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423187",
            "telephone_number": "619-464-6434",
            "fax_number": "619-464-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 205",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423187",
            "telephone_number": "619-464-6434",
            "fax_number": "619-464-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONQUILLO",
        "first_name": "RINA",
        "middle_name": "REGALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A99286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORN",
            "identifier": "A99286",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.