Active NPI
Maureen M Regan, MD
- Internal Medicine Physician
- Sonora, CA
National Provider Identifier
1477532273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G61154
- Practice address
- 690 Guzzi LN Ste C
Sonora, CA 95370-5292 - Phone
- (209) 533-0333
- Fax
- (209) 533-2749
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G61154 | CA | Primary |
Addresses
Primary practice location
690 Guzzi LN Ste C
Sonora, CA 95370-5292
Mailing address
690 Guzzi LN Ste C
Sonora, CA 95370-5292
Phone (209) 533-0333
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native American Health Center, Inc | Current | Accepting new patients | |
| Native American Health Center, Inc | Current | Accepting new patients | |
| Native American Health Center, Inc | Current | Accepting new patients |
Locations
3124 International Blvd
#2D
Oakland, CA 94601
2950 International Blvd
Oakland, CA 94601
Phone (510) 485-5948
160 Capp St
San Francisco, CA 94110
Phone (415) 417-3500
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1669642914
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1477250504
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1619147030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1477532273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 GUZZI LN STE C",
"city": "SONORA",
"state": "CA",
"postal_code": "953705292",
"telephone_number": "209-533-0333",
"fax_number": "209-533-2749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 GUZZI LN STE C",
"city": "SONORA",
"state": "CA",
"postal_code": "953705292",
"telephone_number": "209-533-0333",
"fax_number": "209-533-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "MAUREEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G61154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.