Active NPI
Elite Regenerative Health Inc
- Family Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1538046297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ELITE REGENERATIVE HEALTH INC
- Practice address
- 3605 Long Beach Blvd Ste 210F
Long Beach, CA 90807-4013 - Phone
- (949) 981-2670
- NPI assigned
- Aug 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luke Narciso, FNP-BC
- Title
- Chief Executive Officer
- Phone
- (949) 981-2670
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3605 Long Beach Blvd Ste 210F
Long Beach, CA 90807-4013
Mailing address
3605 Long Beach Blvd Ste 210F
Long Beach, CA 90807-4013
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1528874401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755302400000",
"number": "1538046297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 LONG BEACH BLVD STE 210F",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 LONG BEACH BLVD STE 210F",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074013",
"telephone_number": "949-981-2670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE REGENERATIVE HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-16",
"last_updated": "2025-08-16",
"certification_date": "2025-08-16",
"status": "A",
"authorized_official_last_name": "NARCISO",
"authorized_official_first_name": "LUKE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "949-981-2670",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.