1. Home
  2. Directory
  3. New Mexico
  4. Peralta
  5. Physician Assistant
  6. NPI Profile

REGINA GANTT CSFA
NPI 1396121505
Physician Assistant - Surgical in Peralta, NM

Active since August 11, 2015
28 VALLE LINDO ROAD, PERALTA, NM 87042(505) 280-5326(505) 848-5008 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Regina Gantt Csfa NPPES

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

REGINA GANTT CSFA (NPI 1396121505) is an individual surgical provider in Peralta, New Mexico and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1396121505
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameREGINA GANTTCredential: CSFA
Location Address28 VALLE LINDO ROADPeralta, NM 87042
Mailing Address28 Valle Lindo RoadPeralta, NM 87042 · (505) 280-5326 · Fax (505) 848-5008
Phone(505) 280-5326
Fax(505) 848-5008
Sole ProprietorYes
Enumeration DateAugust 11, 2015
Last NPPES UpdateJanuary 13, 2016
✔ NPI 1396121505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
28 VALLE LINDO ROAD, Peralta, NM 87042
Open in Google Maps ↗

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 Gantt's NPI number?

The NPI number for Regina Gantt is 1396121505. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Regina Gantt located?

Regina Gantt practices at 28 Valle Lindo Road, Peralta, NM 87042. The listed phone number is (505) 280-5326.

What is Regina Gantt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Regina Gantt was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.