Individual provider Active NPI

Regina Holmes, NP

  • Family Nurse Practitioner
  • Daly City, CA
National Provider Identifier
1790366722
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017473 Issued in CA
Practice address
901 Campus Dr Ste 206B
Daly City, CA 94015-4932
Phone
(650) 356-8800
NPI assigned
Apr 20, 2021
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017473 CA Primary

Addresses

Primary practice location

901 Campus Dr Ste 206B
Daly City, CA 94015-4932

Mailing address

9910 Powderhouse Dr
San Antonio, TX 78239-2051
Phone (210) 664-8266

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017473CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassus Op of Texas LLC Family Medicine CurrentSince Nov 21, 2022 Accepting new patients
Ronald Gordon Medical Corporation CurrentSince Feb 23, 2025 Accepting new patients

Locations

901 Campus Dr
Ste 206B
Daly City, CA 94015
Phone (216) 965-3152

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

84 NE Loop 410
Ste 390
San Antonio, TX 78216
Phone (210) 731-0505

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1790366722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 POWDERHOUSE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782392051",
            "telephone_number": "210-664-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR STE 206B",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154932",
            "telephone_number": "650-356-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "REGINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.