NPIMap

Organization Active NPI

Regenerate Health Medical Center

  • Clinic/Center
  • Redondo Beach, CA
National Provider Identifier
1669847943
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ND768 Issued in CA
Legal business name
REGENERATE HEALTH MEDICAL CENTER
Practice address
407 N Elena Ave
#3
Redondo Beach, CA 90277-2860
Phone
(805) 620-7122
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Alexandra Carswell Engle, ND
Title
Naturopathic Doctor
Phone
(805) 620-7122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ND768 CA Primary

Addresses

Primary practice location

407 N Elena Ave
#3
Redondo Beach, CA 90277-2860

Mailing address

407 N Elena Ave
#3
Redondo Beach, CA 90277-2860
Phone (805) 620-7122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1669847943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N ELENA AVE",
            "address_2": "#3",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772860",
            "telephone_number": "805-620-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N ELENA AVE",
            "address_2": "#3",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772860",
            "telephone_number": "805-620-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATE HEALTH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "CARSWELL ENGLE",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "NATUROPATHIC DOCTOR",
        "authorized_official_telephone_number": "805-620-7122",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "ND768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.