Active NPI
Rebeccah Rodriguez Regner LLC
- Family Medicine Physician
- Vista, CA
National Provider Identifier
1821795402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- REBECCAH RODRIGUEZ REGNER LLC
- Practice address
- 2305 Vista Grande Dr
Vista, CA 92084-2737 - Phone
- (602) 421-4204
- NPI assigned
- Feb 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Butler
- Title
- Owner
- Phone
- (916) 909-4910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2305 Vista Grande Dr
Vista, CA 92084-2737
Mailing address
2305 Vista Grande Dr
Vista, CA 92084-2737
Phone (602) 421-4204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Encinitas, CA
- NPI 1861239477
-
- Sports Medicine (Family Medicine) Physician
- San Diego, CA
- NPI 1922288802
-
- Medical Physician Assistant
- La Jolla, CA
- NPI 1184273617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1821795402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 VISTA GRANDE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920842737",
"telephone_number": "602-421-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 VISTA GRANDE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920842737",
"telephone_number": "602-421-4204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCAH RODRIGUEZ REGNER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-14",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-909-4910"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.