Healthcare Provider Details

I. General information

NPI: 1164356531
Provider Name (Legal Business Name): REGINA ZAPIEN VARGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3291 STANFORD RANCH RD STE 102
ROCKLIN CA
95765-5577
US

IV. Provider business mailing address

4606 VINE CIR
ROCKLIN CA
95765-4735
US

V. Phone/Fax

Practice location:
  • Phone: 916-435-1665
  • Fax:
Mailing address:
  • Phone: 916-559-1308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113076
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: