MEDICARE: JAYVEE RONQUILLO REGALA MD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A75727	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720017593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYVEE RONQUILLO REGALA MD.

Provider Business Mailing Address
First Line	:	PO BOX 9602
Second Line	:
City	:	MISSION HILLS
State	:	CA
Zip	:	91346-9602
Country	:	US
Telephone Number	:	818-837-5691
Fax Number	:	818-792-4793

Provider Business Practice Location Address
First Line	:	18460 ROSCOE BLVD
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-4107
Country	:	US
Telephone Number	:	818-837-5790
Fax Number	:	818-998-2506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	09/14/2021

Similar Medicare Providers

1346569191 — DR. LESLEY C PRINCE MD
Practice Location Address:

18460 ROSCOE BLVD FL 3
NORTHRIDGE, CA
91325-4107

Practice Phone: 818-885-5480
Practice Fax: 818-993-1917

1821085374 — MRS. MARY B DICKENS N.P.
Practice Location Address:

18460 ROSCOE BLVD
NORTHRIDGE, CA
91325-4107

Practice Phone: 818-734-3620
Practice Fax:

1699734319 — DR. DAFNA TRITES D.O.
Practice Location Address:

18460 ROSCOE BLVD
NORTHRIDGE, CA
91325-4107

Practice Phone: 818-734-3600
Practice Fax:

1356389274 — DR. SAMUEL SAEED FEIZI MD
Practice Location Address:

18406 ROSCOE BLVD
NORTHRIDGE, CA
91325-4107

Practice Phone: 818-885-5480
Practice Fax: 818-885-5430

1114965548 — MRS. SHERYL ROSENBERG THOUIN R.D., M.P.H., C.D.E
Practice Location Address:

18460 ROSCOE BLVD FL 2
NORTHRIDGE, CA
91325-4107

Practice Phone: 818-885-5480
Practice Fax: 818-993-1917

1518994433 — NARMEEN ADNAN NABIL MD
Practice Location Address:

18460 ROSCOE BLVD
NORTHRIDGE, CA
91325-4107

Practice Phone: 818-734-3654
Practice Fax: 818-734-3621

Directions to “ JAYVEE RONQUILLO REGALA MD.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.