Healthcare Provider Details

I. General information

NPI: 1528264686
Provider Name (Legal Business Name): ADAM REGELMANN MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28321 INDUSTRIAL BLVD
HAYWARD CA
94545-4428
US

IV. Provider business mailing address

28321 INDUSTRIAL BLVD
HAYWARD CA
94545-4428
US

V. Phone/Fax

Practice location:
  • Phone: 855-782-7899
  • Fax:
Mailing address:
  • Phone: 855-782-7899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2007014951
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA118133
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: