Individual provider Active NPI

Regina Louise Edmond, M.D.

  • Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1528279387
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A91799 Issued in CA
Practice address
1950 Sawtelle Blvd Ste 145
Los Angeles, CA 90025-7074
Phone
(310) 575-4050
Fax
(310) 575-4250
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X A91799 CA Primary

Addresses

Primary practice location

1950 Sawtelle Blvd Ste 145
Los Angeles, CA 90025-7074

Mailing address

PO Box 352200
Los Angeles, CA 90035-0256
Phone (323) 776-3890

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
I20081113000124 CA Practitioner - Obstetrics/Gynecology 8527127018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8737 Beverly Blvd
Suite 201
West Hollywood, CA 90048-1840
Phone (310) 659-4564

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91799CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regina L. Edmond, M.D., Inc. CurrentSince Mar 7, 2010 Accepting new patients
Premier Women'S Care Inc CurrentSince Mar 7, 2010 Accepting new patients
Nippon Medical Clinic PastSince Sep 10, 1992 Accepting new patients

Locations

6330 San Vicente Blvd
Ste 305
Los Angeles, CA 90048
Phone (323) 525-0330

8737 Beverly Blvd
Ste 201
West Hollywood, CA 90048
Phone (310) 659-4564

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6756/brand/1/csg/1/fhir/r4
  • Direct secure messaging: regina.edmond.1@6756.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1528279387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900350256",
            "telephone_number": "323-776-3890",
            "fax_number": "323-686-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD STE 145",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257074",
            "telephone_number": "310-575-4050",
            "fax_number": "310-575-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMOND",
        "first_name": "REGINA",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A91799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.