Regenerations Cancer Wellness Foundation

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

REGENERATIONS CANCER WELLNESS FOUNDATION

Practice address

1032 Keiko St
Los Banos, CA 93635-5213

Phone

(209) 827-1960

NPI assigned

Oct 24, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Starr Carson Cleary, MFT, CES, MFT,

Title

President

Phone

(209) 827-1960

Specialties & licenses 3

Addresses

Other names 1

• Regenerations Wellness Cancer Foundation Former legal business name

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1831475797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "address_2": "1032 KEIKO STREET",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936350186",
            "telephone_number": "209-827-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 KEIKO ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936355213",
            "telephone_number": "209-827-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIONS CANCER WELLNESS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "CARSON CLEARY",
        "authorized_official_first_name": "STARR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-827-1960",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MFT, CES, MFT,"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerations Wellness Cancer Foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William King Rapp Jr., D.D.S.
• Amber Rawhoof
• Destiny Rae Razo
• Laura Razo
• Monzerath N Rebollar
• Reliable Medical Transportation Service
• Beverly Resendiz
• Emily Reyes Vasquez
• Christian Reyes, FNP
• Leopoldo L Reyes, P.T.

• Athletic Trainer in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.