Advanced Regenerative Healing and Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ADVANCED REGENERATIVE HEALING AND WELLNESS CENTER

Practice address

26440 La Alameda
Suite 380
Mission Viejo, CA 92691

Phone

(949) 446-9272

NPI assigned

Aug 5, 2020

Organization subpart

No

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

Authorized official

Name

Mr. David Joseph Mata

Title

Co-Founder, Chief Health Officer

Phone

(951) 260-7234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1528678489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44257 MEADOW GROVE STREET",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92544",
            "telephone_number": "951-260-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26440 LA ALAMEDA",
            "address_2": "SUITE 380",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-446-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REGENERATIVE HEALING AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CO-FOUNDER, CHIEF HEALTH OFFICER",
        "authorized_official_telephone_number": "951-260-7234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Behavioral Learning Environment
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• Advanced Physical Therapy of Laguna-Viejo a Professional Corpor
• Advantage Health Care Services - Mission Inc
• Advantage Healthcare Services - DME LLC
• Advantage Healthcare Services - DME LLC
• Aryan Humayra Afshar
• Afshin a. Mashoof, M.D., Inc.

• Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.