Individual provider Active NPI

Maureen M Regan, MD

  • Internal Medicine Physician
  • Sonora, CA
National Provider Identifier
1477532273
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G61154 Issued in CA
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

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000374 CA Practitioner - Internal Medicine 7113811357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Health Center, Inc CurrentSince Dec 8, 2024 Accepting new patients
Native American Health Center, Inc Current Accepting new patients
Native American Health Center, Inc CurrentSince Dec 8, 2024 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.

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

Verify at the official NPI Registry.