Active NPI
Regina Gimena, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Winnetka, CA
National Provider Identifier
1639832199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2021038147
- Practice address
- 19959 Enadia Way
Winnetka, CA 91306-3637 - Phone
- (213) 447-7532
- NPI assigned
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021038147 | CA | Primary |
Addresses
Primary practice location
19959 Enadia Way
Winnetka, CA 91306-3637
Mailing address
19959 Enadia Way
Winnetka, CA 91306-3637
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | regina.gimena@va.gov | ||
| Other URL | reginagimena85@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021038147 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1639832199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19959 ENADIA WAY",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913063637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19959 ENADIA WAY",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913063637",
"telephone_number": "213-447-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIMENA",
"first_name": "REGINA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "2021038147",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "regina.gimena@va.gov",
"affiliation": "N",
"endpointDescription": "regina.",
"address_1": "19959 Enadia Way",
"city": "Winnetka",
"state": "CA",
"country_code": "US",
"postal_code": "913063637",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "reginagimena85@gmail.com",
"affiliation": "N",
"endpointDescription": "for direct email without PHI",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "19959 Enadia Way",
"city": "Winnetka",
"state": "CA",
"country_code": "US",
"postal_code": "913063637",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Winnetka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.