RONNELL REGIDOR – Acute Care Nurse Practitioner, NPI 1265861397

RONNELL REGIDOR is a healthcare provider. based in Glendale, California. specializing in NURSE PRACTITIONER. They hold a License No. 23729 (CA). The NPI Number for RONNELL REGIDOR is 1265861397

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
RONNELL REGIDOR
NPI
1265861397
Phone
Not provided
Address
435 ARDEN AVE STE 310
Enumeration Date
8 November 2013
Last Update Date
14 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6268988000
Graduation Year
2013 (13 years ago)
PAC ID
3779807821
Group Practice PAC ID
0446157747
Professional Enrollment ID
I20150120000369
Address ID
CA910073402AR300XXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for RONNELL REGIDOR

  • 435 ARDEN AVE STE 310

    GLENDALE, CA 912034014

    Phone:

    Type: Mailing

  • PO BOX 31309

    LOS ANGELES, CA 900310309

    Phone: (323) 442-5100

    Type: Mailing

  • 1520 SAN PABLO ST STE 1000

    LOS ANGELES, CA 900335312

    Phone: (323) 442-5100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150120000369INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes320131$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7574$0
View full utilization report →

Insurance plans in this area (ZIP 91203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446157747View full group profile
NameSpecialtyState
-CA
U R O L O G YCA
Diagnostic RadiologyNY
Diagnostic RadiologyCA
-CA
-CA
H E M A T O L O G Y/ O N C O L O G YCA
General SurgeryCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm RONNELL REGIDOR's NPI?
Yes. RONNELL REGIDOR is listed with NPI 1265861397 in the public NPI dataset.
Can I rely on RONNELL REGIDOR being an active provider?
As of the registry snapshot, RONNELL REGIDOR is marked active.
What is RONNELL REGIDOR's primary classification?
Acute Care Nurse Practitioner is the headline specialty for RONNELL REGIDOR here. Clinical services aligned with this taxonomy classification.
Where should I expect RONNELL REGIDOR on a map?
Expect Glendale, California as a primary anchor for RONNELL REGIDOR unless the record lists multiple sites.
Is the information about RONNELL REGIDOR up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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