Organization Active NPI

Regenerative Medical Center Management LLC

  • Clinic/Center
  • Oxnard, CA
National Provider Identifier
1952866675
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REGENERATIVE MEDICAL CENTER MANAGEMENT LLC
Practice address
4310 Tradewinds Dr Ste 300
Oxnard, CA 93035-1410
Phone
(805) 702-2500
Fax
(805) 233-3035
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Dr. Allan David Laird, DCNPI 1174665640
Title
Owner
Phone
(805) 702-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4310 Tradewinds Dr Ste 300
Oxnard, CA 93035-1410

Mailing address

4310 Tradewinds Dr Ste 300
Oxnard, CA 93035-1410
Phone (805) 702-2500

Other practice location 1

3801 Las Posas Rd Ste 211
Camarillo, CA 93010-1426
Phone (951) 941-9642

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1952866675",
    "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": "3801 Las Posas Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101426",
            "country_code": "US",
            "telephone_number": "951-941-9642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGENERATIVE MEDICAL CENTER MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "LAIRD",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-702-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.