Regenerative Immunology Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

REGENERATIVE IMMUNOLOGY INC

Practice address

2320 Woolsey St Ste 314
Berkeley, CA 94705-1976

Phone

(510) 616-8688

Fax

(510) 666-0916

NPI assigned

Sep 11, 2024

Organization subpart

No

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

Authorized official

Name

Nataliya Kushnir, MDNPI 1689875692

Title

Ceo

Phone

(510) 616-8688

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nataliya M. Kushnir, M.D.

  • Allergy & Immunology Physician
  • Berkeley, CA
  • NPI 1689875692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1750117214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST STE 314",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "510-616-8688",
            "fax_number": "510-666-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST STE 314",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "510-616-8688",
            "fax_number": "510-666-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE IMMUNOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "KUSHNIR",
        "authorized_official_first_name": "NATALIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-616-8688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Reed
• Nathan Reed
• Juanette Reese, R.N.
• Brandon Reeves
• Marianne Regan, MFT
• Regents of the University of California at Berkeley
• Regents of the University of California at Berkeley
• Nermeen Ammara Rehimtoola
• Andrew Reichart
• Brooke Irene Reid, AU.D.

• Allergy & Immunology Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.