Organization Active NPI

Regenesis LLC

  • Multi-Specialty Clinic/Center
  • Auburn, CA
National Provider Identifier
1730674326
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
REGENESIS LLC
Practice address
660 Auburn Folsom Rd Ste 203
Auburn, CA 95603-5646
Phone
(530) 537-2620
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Dorothy Lewis
Title
Ceo
Phone
(530) 537-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

660 Auburn Folsom Rd Ste 203
Auburn, CA 95603-5646

Mailing address

660 Auburn Folsom Rd Ste 203
Auburn, CA 95603-5646
Phone (530) 537-2620

National Provider Directory

National Provider Directory

Locations

660 Auburn Folsom Rd
Ste 203
Auburn, CA 95603
Phone (530) 537-2620

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1730674326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 AUBURN FOLSOM RD STE 203",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035646",
            "telephone_number": "530-537-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 AUBURN FOLSOM RD STE 203",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035646",
            "telephone_number": "530-537-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-537-2620"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.