Active NPI
Regina An
- Clinical Social Worker
- Alhambra, CA
National Provider Identifier
1487848164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS26730
- Practice address
- 1515 W Mission Rd
Alhambra, CA 91803 - Phone
- (626) 943-3416
- NPI assigned
- Sep 5, 2007
- Last updated
- Oct 1, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS26730 | CA | Primary |
Addresses
Primary practice location
1515 W Mission Rd
Alhambra, CA 91803
Mailing address
1515 W Mission Rd
Alhambra, CA 91803-1618
Phone (626) 943-3416
Other practice location 1
66 Hurlbut St
Pasadena, CA 91105-4025
Phone (626) 441-4221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ICAN773 | Other | CA | DMH STAFF CODE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS26730 | CA | MD | Clinical Social Worker |
| 26730 | CA | MD | Occupational Health Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1487848164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W MISSION RD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918031618",
"telephone_number": "626-943-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W MISSION RD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "91803",
"telephone_number": "626-943-3416"
}
],
"practiceLocations": [
{
"address_1": "66 Hurlbut St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911054025",
"country_code": "US",
"telephone_number": "626-441-4221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AN",
"first_name": "REGINA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS26730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMH STAFF CODE",
"identifier": "ICAN773",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
- Alexandra Amaro
- Amg Medical,Inc
- Amg, a Professional Medical Corporation (Astrana Gastorenterology)
- Amg, a Professional Medical Corporation
- Bernadette Asante Amofa
- Veronica An
- Maria Sofia Anaya Gonzalez
- Andrew Fung DO, a Professional Corporation
- Andy Shen, M.D., Inc. (Shen Medical Group)
- Angel Occupational Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.