Organization Active NPI

Rebeccah Rodriguez Regner LLC

  • Family Medicine Physician
  • Vista, CA
National Provider Identifier
1821795402
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 2, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20230220002216 CA Part B Supplier - Clinic/Group Practice 2264804285 Receives reassigned benefits from 3 practitioners
Practice locations: Encinitas, CA; Temecula, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.