Active NPI
Jose Santana Reyes, D.C.
- Chiropractor
- Bakersfield, CA
National Provider Identifier
1013910447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28154
- Practice address
- 1999 Edison Hwy
Suites 2,4, 6
Bakersfield, CA 93305-5554 - Phone
- (661) 861-9266
- Fax
- (661) 861-9222
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28154 | CA | Primary |
Addresses
Primary practice location
1999 Edison Hwy
Suites 2,4, 6
Bakersfield, CA 93305-5554
Mailing address
1999 Edison Hwy
Suites 2,4, 6
Bakersfield, CA 93305-5554
Phone (661) 861-9266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28154 | CA | MD | Social Worker |
| DC28154 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanguard Medical Corporation | Current | Accepting new patients | |
| Vanguard Medical Corporation | Current | Accepting new patients |
Locations
565 Kern St
Shafter, CA 93263
Phone (661) 746-4937
845 7th St
Wasco, CA 93280
Phone (661) 459-1000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBAGAD/Endpoint/JBAGAD
- https://fhir4.healow.com/fhir/r4/CAHDDD/Endpoint/CAHDDD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Shafter, CA
- NPI 1609281310
-
- Rural Health Clinic/Center
- Wasco, CA
- NPI 1164270807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1013910447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 EDISON HWY",
"address_2": "SUITES 2,4, 6",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933055554",
"telephone_number": "661-861-9266",
"fax_number": "661-861-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 EDISON HWY",
"address_2": "SUITES 2,4, 6",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933055554",
"telephone_number": "661-861-9266",
"fax_number": "661-861-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JOSE",
"middle_name": "SANTANA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.