REGENERATION PSYCHIATRY
NPI 1285200584
Psychiatry & Neurology - Psychiatry in Redondo Beach, CA

Q: What is Regeneration Psychiatry's NPI number?

The NPI number for Regeneration Psychiatry is 1285200584. It was assigned to this organization in the NPPES registry on May 28, 2021.

Q: What is Regeneration Psychiatry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since May 28, 2021

2512 ARTESIA BLVD STE 320, REDONDO BEACH, CA 90278(424) 277-2899(424) 277-2899 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2024, Oct 8, 2021, May 28, 2021 (3 updates tracked since 2021).

On this page

About Regeneration Psychiatry NPPES

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

REGENERATION PSYCHIATRY (NPI 1285200584) is a healthcare organization registered as a psychiatry in Redondo Beach, California and active in the NPI registry since May 2021. The organization maintains a secondary practice location in Los Angeles and lists Jobert Ballesteros Poblete, Coo, as its authorized official.

NPPES Registry Identity

NPI1285200584

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameREGENERATION PSYCHIATRY

Location Address2512 ARTESIA BLVD STE 320Redondo Beach, CA 90278-3282

Mailing Address2512 Artesia Blvd Ste 320Redondo Beach, CA 90278-3282 · (424) 277-2899 · Fax (424) 277-2899

Phone(424) 277-2899

Fax(424) 277-2899

Organization SubpartNo

Authorized OfficialJobert Ballesteros PobleteCoo · (424) 277-2821

Enumeration DateMay 28, 2021

Last NPPES UpdateApril 23, 20253 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1285200584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2512 ARTESIA BLVD STE 320, Redondo Beach, CA 90278

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Secondary Practice Location 1

Location 15757 Wilshire Blvd Ste 448Los Angeles, CA 90036-3658 · Phone (424) 277-2899 · Fax (424) 277-2899

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regeneration Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 17 clinicians reassign Medicare billing to Regeneration Psychiatry, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (17)

Patricia Ekwueme, MD, MPH

Psychiatry

NPI 1861949422

2512 ARTESIA BLVD STE 320
Redondo Beach, CA 90278

(424) 277-2899

✔ PECOS✔ Accepts MedicareSame address

Kathleen Lopez

Psychiatry

NPI 1609496751

2512 ARTESIA BLVD
Redondo Beach, CA 90278

(424) 277-2899

✔ PECOS✔ Accepts MedicareSame address

Rebecca Salamo, MD

Psychiatry

NPI 1770045304

2512 ARTESIA BLVD STE 320
Redondo Beach, CA 90278

(424) 277-2899

✔ PECOS✔ Accepts MedicareSame address

Wenqi Feng

Psychiatry

NPI 1861933103

2512 ARTESIA BLVD STE 320
Redondo Beach, CA 90278

(424) 277-2899

✔ PECOS✔ Accepts MedicareSame address

Stephanie Sabra, MD, MPH

Psychiatry

NPI 1295266104

2512 ARTESIA BLVD STE 310
Redondo Beach, CA 90278

(424) 277-2899

✔ PECOS✔ Accepts Medicare0.1 mi

Brittany Tarrant, MD

Psychiatry

NPI 1073017570

2512 ARTESIA BLVD STE 310
Redondo Beach, CA 90278

(424) 277-2899

✔ PECOS✔ Accepts Medicare0.1 mi

Justin Key, M.D.

Psychiatry

NPI 1093246647

2512 ARTESIA BLVD STE 310
Redondo Beach, CA 90278

(424) 277-2899

✔ PECOS✔ Accepts Medicare0.1 mi

Kartik Depala, MD

Psychiatry

NPI 1780326108

1000 W CARSON ST
Torrance, CA 90502

(310) 222-2345

✔ PECOS5.1 mi

Tashalee Brown, MD, PHD

Psychiatry

NPI 1699260703

5757 WILSHIRE BLVD STE 448
Los Angeles, CA 90036

(424) 277-2899

✔ PECOS✔ Accepts Medicare13 mi

Jobert Poblete, MD

Psychiatry

NPI 1063944759

5757 WILSHIRE BLVD STE 448
Los Angeles, CA 90036

(424) 277-2899

✔ PECOS✔ Accepts Medicare13 mi

Tiana Raphel

Psychiatry

NPI 1396324851

757 WESTWOOD PLZ
Los Angeles, CA 90095

(310) 206-6721

✔ PECOS14 mi

Ragda Izar, MD

Psychiatry

NPI 1952041030

760 WESTWOOD PLZ STE 37-384
Los Angeles, CA 90024

(310) 206-6721

✔ PECOS14 mi

Katherine Kerr, M.D.

Psychiatry

NPI 1629415104

760 WESTWOOD PLZ
Los Angeles, CA 90024

(310) 206-7856

✔ PECOS✔ Accepts Medicare14 mi

Arjun Kumar

Psychiatry

NPI 1346732450

760 WESTWOOD PLZ STE 37-384
Los Angeles, CA 90024

(310) 206-6721

✔ PECOS✔ Accepts Medicare14 mi

Veronica Sanchez, MD

Psychiatry

NPI 1912526948

3800 BARHAM BLVD STE 416
Los Angeles, CA 90068

(626) 681-3729

✔ PECOS✔ Accepts Medicare19 mi

Celena Pentagulio

Psychiatry

NPI 1790312783

300 HILLMONT AVE
Ventura, CA 93003

(805) 652-6000

✔ PECOS✔ Accepts Medicare58 mi

Boma Afonya, MD

Psychiatry

NPI 1881271385

1801 W ALCOTT AVE
Fergus Falls, MN 56537

(218) 332-5001

✔ PECOS✔ Accepts Medicare1,449 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Regeneration Psychiatry's NPI number?

The NPI number for Regeneration Psychiatry is 1285200584. It was assigned to this organization in the NPPES registry on May 28, 2021.

Where is Regeneration Psychiatry located?

Regeneration Psychiatry is located at 2512 Artesia Blvd Ste 320, Redondo Beach, CA 90278. The listed phone number is (424) 277-2899.

What is Regeneration Psychiatry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Regeneration Psychiatry enrolled in Medicare?

Yes. Regeneration Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regeneration Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians, all in Psychiatry, reassign their Medicare billing to Regeneration Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Regeneration Psychiatry was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.