Healthcare Provider Details

I. General information

NPI: 1588695480
Provider Name (Legal Business Name): KARENA FRANCES REGAN P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24421 PUEBLO CT
TEHACHAPI CA
93561-9272
US

IV. Provider business mailing address

25101 BEAR VALLEY RD PMB #254
TEHACHAPI CA
93561-8311
US

V. Phone/Fax

Practice location:
  • Phone: 805-448-6123
  • Fax:
Mailing address:
  • Phone: 805-448-6123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA15690
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11486
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: