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REGINA CHRISELLE
NPI 1003171208
Rehabilitation Practitioner in Antioch, CA

Active since July 12, 2012
4709 PALOMINO WAY, ANTIOCH, CA 94531(925) 206-4791 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2025, Jan 5, 2024, May 6, 2020 (3 updates tracked since 2020).

About Regina Chriselle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINA CHRISELLE (NPI 1003171208) is an individual rehabilitation practitioner in Antioch, California and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1003171208
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameREGINA CHRISELLE
Location Address4709 PALOMINO WAYAntioch, CA 94531-9309
Mailing Address2725 Pavilion PkwyTracy, CA 95304-9490 · (209) 640-8625
Phone(925) 206-4791
Sole ProprietorYes
Enumeration DateJuly 12, 2012
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1003171208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
4709 PALOMINO WAY, Antioch, CA 94531
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Other Identifiers 1

Medicaid1003171208CA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REACH TO WIN YOUTH HOME & FAMILY SERVICES INC
Clinic/Center (Adolescent and Children Mental Health)
4709 PALOMINO WAY
ANTIOCH, CA 94531
Contra Costa County (925) 206-4791
AMANDA SCHIAVONE
Case Manager/Care Coordinator
4709 PALOMINO WAY
ANTIOCH, CA 94531
Contra Costa County (925) 305-3520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regina Chriselle's NPI number?

The NPI number for Regina Chriselle is 1003171208. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Regina Chriselle located?

Regina Chriselle practices at 4709 Palomino Way, Antioch, CA 94531. The listed phone number is (925) 206-4791.

What is Regina Chriselle's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Regina Chriselle was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.