DR. SHANE MICHAEL REGNIER


Address: 200 West Arbor Drive, Mc 8770, San Diego, CA 92103-8770
Phone: 6195435297

DR. SHANE MICHAEL REGNIER (NPI# 1639610066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639610066
Entity Type Individual
Full Name DR. SHANE MICHAEL REGNIER
Credential MD, PHD
Practice Address 200 West Arbor Drive
Mc 8770
San Diego
CA 92103-8770
Practice Telephone 6195435297
Practice Fax Number 6195435424
Mailing Telephone 6195435297
Mailing Fax Number 6195435424
Enumeration Date 2017-03-18
Last Update Date 2018-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4077 Fifth Ave, # Mer 35, San Diego, CA 921032105 6192607220 6192607305

Office Location

Street Address 200 WEST ARBOR DRIVE
MC 8770
City SAN DIEGO
State CA
Zip Code 92103-8770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003873175 Steven Douglas Hickman Psychologist 200 West Arbor Drive, Mc8218, San Diego, CA 92103-8218 2006-05-01
1700442449 Joelle Takahashi Internal Medicine 200 West Arbor Drive, San Diego, CA 92103-8770 2019-05-17
1891359154 Morgan Elizabeth Davis Student in an Organized Health Care Education/Training Program 200 West Arbor Drive, San Diego, CA 92103-8829 2019-04-23
1386107548 Jorge Roberto De La Torre Student in an Organized Health Care Education/Training Program 200 West Arbor Drive, Mail Code 8829, San Diego, CA 92103-8829 2019-04-12
1851854806 Michael Paluy Student in an Organized Health Care Education/Training Program 200 West Arbor Drive, Mc 8770, San Diego, CA 92103 2019-04-08
1972062867 Niels D. Naimon Student in an Organized Health Care Education/Training Program 200 West Arbor Drive, Mc8676, San Diego, CA 92103-8676 2019-03-19
1972062735 Jared Rosen Student in an Organized Health Care Education/Training Program 200 West Arbor Drive, San Diego, CA 92103-8425 2019-03-19
1033603543 Gillian Gadiano Registered Nurse 200 West Arbor Drive, San Diego, CA 92103-8501 2018-06-18
1396234662 Taraz Nicholas Nosrat Anesthesiology 200 West Arbor Drive, Mc 8770, San Diego, CA 92103-1911 2018-05-02
1891206736 Michelle Variz Registered Nurse 200 West Arbor Drive, #8501, San Diego, CA 92103-8501 2017-10-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033716204 Julianne A. Demery Student in an Organized Health Care Education/Training Program Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 2020-10-01
1649885732 Leanne Evalyn Morancie Student in an Organized Health Care Education/Training Program 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 2020-09-15
1689288136 Melissa Eileen Fitzgibbon Student in an Organized Health Care Education/Training Program 5114 63rd St, San Diego, CA 92115-1407 2020-09-02
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1861004392 Mareena Biju Student in an Organized Health Care Education/Training Program 10995 Evening Creek Dr E, San Diego, CA 92128-4009 2020-08-17
1184235202 Taylor G Wasko Student in an Organized Health Care Education/Training Program 4114 Swift Ave Apt 4, San Diego, CA 92104-2249 2020-08-12
1790394245 Elisa Melo Da Silva Smerik Student in an Organized Health Care Education/Training Program 3235 Loma Riviera Dr, San Diego, CA 92110-5511 2020-07-29
1215554076 Ana Mohammad-zadeh Student in an Organized Health Care Education/Training Program 17289 Russet St, San Diego, CA 92127-2135 2020-06-28
1265056048 Tilbe Yildirim Student in an Organized Health Care Education/Training Program 1963 Fourth Ave., San Diego, CA 92101 2020-06-08
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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