Regina Bacani Dizon, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95018663 Issued in CA

Practice address

1501 Superior Ave Ste 300
Newport Beach, CA 92663-3641

Phone

(949) 996-5355

Fax

(949) 806-6901

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stefani Lafrenierre MD IncGroup PAC ID 4082062526, 7 clinicians

Oc Geropsychiatric Medical GroupGroup PAC ID 0648711168, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Oc Geropsychiatric Medical Group

  • Geriatric Psychiatry Physician
  • Jurupa Valley, CA
  • NPI 1548003015
  Medicare reassignment Care Compare group NPD
• Stefani Lafrenierre, MD Inc.

  dba Resiliency Mind Body Medicine

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1811688153
  Medicare reassignment Care Compare group NPD
• Karma Doctors & Associates, P.C.

  • Psychiatry Physician
  • Villa Park, CA
  • NPI 1205450418
  Medicare reassignment
• Freeport Memorial Hospital

  dba FHN-Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1609538040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641",
            "telephone_number": "949-996-5355",
            "fax_number": "949-806-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641",
            "telephone_number": "949-996-5355",
            "fax_number": "949-806-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON",
        "first_name": "REGINA",
        "middle_name": "BACANI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discovery Practice Management, Inc (Center For Discovery, Newport Beach)
• Distinction Surgery Center (Orange County Surgery Center)
• Michael Ditolla, D.D.S.
• Diversified Ambulatory Surgical Medical Center (Newport Crest Surgical Center)
• Rolane Tweenie T. Tacbas Diya, AU.D.
• Vania Djavid
• Adam Vojin Djurdjulov, M.D.
• Duc H. DO, M.D.
• Linda DO, D.O.
• Kenneth Dobbs, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.