Organization Active NPI

Regenerative Orthopedics Institute Inc

  • Orthopaedic Surgery Physician
  • San Luis Obispo, CA
National Provider Identifier
1962872770
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
REGENERATIVE ORTHOPEDICS INSTITUTE INC
Practice address
842 California Blvd
San Luis Obispo, CA 93401-2902
Phone
(805) 542-9678
Fax
(805) 542-9685
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Dr. Renee Smith, MD
Title
Ceo
Phone
(805) 542-9678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X CA Primary

Addresses

Primary practice location

842 California Blvd
San Luis Obispo, CA 93401-2902

Mailing address

842 California Blvd
San Luis Obispo, CA 93401-2902
Phone (805) 542-9678

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1962872770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 CALIFORNIA BLVD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012902",
            "telephone_number": "805-542-9678",
            "fax_number": "805-542-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 CALIFORNIA BLVD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012902",
            "telephone_number": "805-542-9678",
            "fax_number": "805-542-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE ORTHOPEDICS INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-542-9678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.