Elena R. Regala, M.D., Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A-336760 Issued in CA

Legal business name

ELENA R. REGALA, M.D., INC.

Practice address

210 S Palisade Dr Ste 202
Santa Maria, CA 93454-8900

Phone

(805) 922-8429

Fax

(805) 349-9389

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Elena R Regala, M.D.

Title

Pediatrician

Phone

(805) 922-8429

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1780855734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548900",
            "telephone_number": "805-922-8429",
            "fax_number": "805-349-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S PALISADE DR STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548900",
            "telephone_number": "805-922-8429",
            "fax_number": "805-349-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA R. REGALA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "REGALA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "805-922-8429",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A-336760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.