Individual provider Active NPI

Regina Imelda Hojilla De Luna, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Apple Valley, CA
National Provider Identifier
1821318106
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
C53597 Issued in CA
Practice address
18300 US Highway 18
Apple Valley, CA 92307-2206
Phone
(760) 946-8873
NPI assigned
Jun 9, 2010
Last updated
Jun 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X C53597 CA
Hematology (Pathology) Physician 207ZH0000X C53597 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X C53597 CA Primary

Addresses

Primary practice location

18300 US Highway 18
Apple Valley, CA 92307-2206

Mailing address

19491 Chuparosa Rd
Apple Valley, CA 92307-1689
Phone (760) 240-8108

Other names 1

  • Regina Cariaso Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140530000301 CA Practitioner - PathologyPractitioner - Other (Physician) 0941423461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.83
Promoting interoperability
100
Improvement activities
40
Cost
78.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C53597CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Gastro Group, Inc. CurrentSince Mar 8, 2014 Accepting new patients
Diamond Pathology LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

12565 Hesperia Rd
Ste 1
Victorville, CA 92395
Phone (717) 991-5836

12595 Hesperia Rd
Ste 101
Victorville, CA 92395
Phone (760) 881-3377

17203 Jasmine St
Victorville, CA 92395
Phone (760) 881-3377

Organizations & group practices 3

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1821318106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19491 CHUPAROSA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071689",
            "telephone_number": "760-240-8108",
            "fax_number": "760-240-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072206",
            "telephone_number": "760-946-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUNA",
        "first_name": "REGINA IMELDA",
        "middle_name": "HOJILLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "C53597",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "C53597",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "C53597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "CARIASO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.