Rose Havea Regan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA55528 Issued in CA

Practice address

1530 E Hammer LN
Stockton, CA 95210-3149

Phone

(209) 954-3200

NPI assigned

Dec 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Icco, LLC

  dba BestMed

  • Urgent Care Clinic/Center
  • Eugene, OR
  • NPI 1407004757
  Medicare reassignment NPD
• Cep America LLC

  dba Vituity

  • Emergency Medicine Physician
  • Roseburg, OR
  • NPI 1780647719
  Medicare reassignment
• Cep America LLC

  dba Vituity

  • Emergency Medicine Physician
  • Coos Bay, OR
  • NPI 1063893402
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Icco, LLC

  dba Thurston Urgent Care

  • Urgent Care Clinic/Center
  • Springfield, OR
  • NPI 1528356953
  NPD
• Icco, LLC

  dba BestMed

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1992861611
  NPD (past)

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1588108526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103149",
            "telephone_number": "209-954-3200",
            "fax_number": "209-954-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103149",
            "telephone_number": "209-954-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEA REGAN",
        "first_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "222280",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA55528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan D Hastings, PA
• Seyedehbehnaz Hatami, MD
• Milan Hatcher
• Stephanie Hatten
• Patricia Ann Hatton, M.D.
• Gassan Hawari, D.D.S.
• Lauren Leigh Hawbaker, B.S., SLPA
• Sherrie T Hawkins-Cooper, CPT1
• Kamya Hawkins
• Lynnetta Hawkins

• Medical Physician Assistant in Stockton, CA
• Providers in Stockton, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.