OrganizationActive
Rejuventa Medical Corp.
NPI 1013550987 · Primary Care Clinic/Center · Centralia, WA
Provider details
- NPI number
- 1013550987
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Guito Wingfield, President(917) 494-1002
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1755 Kresky Ave.
Centralia, WA 98531
Phone: (360) 669-0098
Fax: (360) 669-0121
Street-level locationGet directions
Mailing address
1755 Kresky Ave. Box 16
Centralia, WA 98531
Registry dates
- Enumerated
- 2019-10-23
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.