Individual provider Active NPI

Regina Walker Robertson, FNP

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1609466978
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019227 Issued in TX
Practice address
4646 Brockton Ave Ste 201
Riverside, CA 92506-0104
Phone
(951) 585-1800
Fax
(951) 585-1801
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1019227 TX Primary

Addresses

Primary practice location

4646 Brockton Ave Ste 201
Riverside, CA 92506-0104

Mailing address

27174 Felsic Dr
Menifee, CA 92585-2201
Phone (951) 585-1800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260305003973 CA Practitioner - Nurse Practitioner 3678967882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4646 Brockton Ave
Suite 201
Riverside, CA 92506-0102

PO Box
Suite 306417
Nashville, TN 37230-6417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1019227TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altais Medical Group - Riverside, Inc. CurrentSince Jan 21, 2026 Accepting new patients
Medhealth PastSince Feb 7, 2022 Accepting new patients

Locations

4646 Brockton Ave
Ste 201
Riverside, CA 92506
Phone (951) 585-1800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1609466978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27174 FELSIC DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925852201",
            "telephone_number": "951-585-1800",
            "fax_number": "951-585-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060104",
            "telephone_number": "951-585-1800",
            "fax_number": "951-585-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "REGINA",
        "middle_name": "WALKER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.