Active NPI
Regentox LLC
- Specialist
- Westminster, CA
National Provider Identifier
1932161007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- REGENTOX LLC
- Practice address
- 9191 Bolsa Ave Ste 207
Westminster, CA 92683-5561 - Phone
- (714) 622-4125
- Fax
- (714) 622-4125
- NPI assigned
- Apr 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Therresa Anhdao Ngoc Quach
- Title
- Director
- Phone
- (714) 465-9599
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC6261 | CA | |
| Specialist | 174400000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
9191 Bolsa Ave Ste 207
Westminster, CA 92683-5561
Mailing address
9191 Bolsa Ave Ste 207
Westminster, CA 92683-5561
Phone (714) 622-4125
Other practice location 1
18682 Beach Blvd Ste 165
Huntington Beach, CA 92648-2076
Phone (714) 465-9599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0062610 | Other | CA | MEDI-CAL PROVIDER NUMBER |
Other names 1
- MB Laser Clinic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | americanbeamclinic.com | Other |
National Provider Directory
National Provider DirectoryLocations
10141 Westminster Ave
Ste O
Garden Grove, CA 92843
9191 Bolsa Ave
Ste 207
Westminster, CA 92683
Phone (714) 622-4125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Huntington Beach, CA
- NPI 1194325316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1932161007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9191 BOLSA AVE STE 207",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835561",
"telephone_number": "714-622-4125",
"fax_number": "714-622-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 BOLSA AVE STE 207",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835561",
"telephone_number": "714-622-4125",
"fax_number": "714-622-4125"
}
],
"practiceLocations": [
{
"address_1": "18682 Beach Blvd Ste 165",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926482076",
"country_code": "US",
"telephone_number": "714-465-9599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REGENTOX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-04",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "QUACH",
"authorized_official_first_name": "THERRESA ANHDAO",
"authorized_official_middle_name": "NGOC",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "714-465-9599"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC6261",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMBER",
"identifier": "AC0062610",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "americanbeamclinic.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "abcmed.us",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "telemedicine",
"address_1": "18682 Beach Blvd Ste 165",
"city": "Huntington Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926482076",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "MB Laser Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.