Organization Active NPI

Regen Podiatry Inc

  • Podiatrist
  • Long Beach, CA
National Provider Identifier
1902685639
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
REGEN PODIATRY INC
Practice address
701 E 28TH St Ste 100
Long Beach, CA 90806-2769
Phone
(562) 426-2551
NPI assigned
Sep 22, 2023
Last updated
Sep 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
S.Don Kim, D.P.M.NPI 1588610786
Title
Authorized Official
Phone
(562) 426-2551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

701 E 28TH St Ste 100
Long Beach, CA 90806-2769

Mailing address

701 E 28TH St Ste 100
Long Beach, CA 90806-2769
Phone (562) 426-2551

National Provider Directory

National Provider Directory

Locations

701 E 28th St
Ste 100
Long Beach, CA 90806
Phone (562) 269-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1902685639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062769",
            "telephone_number": "562-426-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062769",
            "telephone_number": "562-426-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "S.DON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "562-426-2551",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.