Individual provider Active NPI

Cecilia Jessica Reguly, DDS, MSD

  • Endodontics
  • Murrieta, CA
National Provider Identifier
1851561336
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
54682 Issued in CA
Practice address
39755 Date St Ste 208
Murrieta, CA 92563
Phone
(951) 677-0826
NPI assigned
Mar 11, 2008
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54682 CA
Endodontics 1223E0200X 54682 CA Primary

Addresses

Primary practice location

39755 Date St Ste 208
Murrieta, CA 92563

Mailing address

1508 Barton Rd
Redlands, CA 92373
Phone (909) 810-3017

Other names 1

  • Cecilia Jessica Ibarguen 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827002087 CA Order and Referring Only - DentistPractitioner - Dentist 4587970116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Valley Micro Endodontics Endodontics CurrentSince Dec 1, 2021 Accepting new patients
James Chou DDS Dental Group of Fullerton Inc Past Accepting new patients
H. Abdolhosseini, D.D.S., Inc Dentist Past Accepting new patients

Locations

39755 Date St
Ste 208
Murrieta, CA 92563
Phone (951) 677-0826

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1851561336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 BARTON RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-810-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 DATE ST STE 208",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-677-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGULY",
        "first_name": "CECILIA",
        "middle_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54682",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "54682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "IBARGUEN",
            "middle_name": "JESSICA",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.