Regenerative Medicine Center of Southern California Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REGENERATIVE MEDICINE CENTER OF SOUTHERN CALIFORNIA INC

Practice address

4310 Tradewinds Dr Ste 300
Oxnard, CA 93035-1410

Phone

(805) 702-2500

Fax

(805) 233-3035

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Allan D Laird, DC

Title

Owner

Phone

(805) 702-2500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1912469651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 TRADEWINDS DR STE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930351410",
            "telephone_number": "805-702-2500",
            "fax_number": "805-233-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 TRADEWINDS DR STE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930351410",
            "telephone_number": "805-702-2500",
            "fax_number": "805-233-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Tradewinds Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930351460",
            "country_code": "US",
            "telephone_number": "805-702-2500",
            "fax_number": "805-233-3035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE CENTER OF SOUTHERN CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "LAIRD",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-702-2500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB320570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack William Redmond II, DDS MA
• Ellen B Reed
• Eva Irene Reeder, RN, PHN
• Sharon Ann Regan, M.F.T.
• Regenerative Medical Center Management LLC
• Saranya Reghunathan, M.D.
• Jacqueline Regollar
• Todd J Rehanek, DC
• Paul A Rehder, M.D.
• Thelma Reich, M.D.

• Clinic/Center in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.