Active NPI
Michael Regalado, MD
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1801964705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G48168
- Practice address
- 2020 Zonal Ave
Ird 124
Los Angeles, CA 90033-9985 - Phone
- (323) 226-3691
- Fax
- (323) 226-5692
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G48168 | CA | |
| Pediatrics Physician | 208000000X | G48168 | CA | Primary |
Addresses
Primary practice location
2020 Zonal Ave
Ird 124
Los Angeles, CA 90033-9985
Mailing address
2020 Zonal Ave
Ird 124
Los Angeles, CA 90033-9985
Phone (323) 226-3691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165820 | Medicaid | CA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48168 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1801964705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 ZONAL AVE",
"address_2": "IRD 124",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900339985",
"telephone_number": "323-226-3691",
"fax_number": "323-226-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 ZONAL AVE",
"address_2": "IRD 124",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900339985",
"telephone_number": "323-226-3691",
"fax_number": "323-226-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGALADO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G48168",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G48168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.