Organization Active NPI

Regen Biocare Inc

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1639656465
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REGEN BIOCARE INC
Practice address
3300 Irvine Ave Ste 307
Newport Beach, CA 92660-3108
Phone
(949) 724-1800
Fax
(949) 724-1811
NPI assigned
Jul 24, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Mary Eberhart
Title
Billing
Phone
(949) 724-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CA Primary

Addresses

Primary practice location

3300 Irvine Ave Ste 307
Newport Beach, CA 92660-3108

Mailing address

3300 Irvine Ave Ste 307
Newport Beach, CA 92660-3108
Phone (949) 724-1800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1639656465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 IRVINE AVE STE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603108",
            "telephone_number": "949-724-1800",
            "fax_number": "949-724-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 IRVINE AVE STE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603108",
            "telephone_number": "949-724-1800",
            "fax_number": "949-724-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN BIOCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "EBERHART",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "949-724-1800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.