Individual provider Active NPI

Jose Santana Reyes, D.C.

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1013910447
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28154 Issued in CA
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

Updated by the provider on Jan 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240725000154 CA Practitioner - Chiropractic 1759318710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28154CAMDSocial Worker
DC28154CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Corporation CurrentSince Apr 28, 2024 Accepting new patients
Vanguard Medical Corporation CurrentSince Apr 28, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBAGAD/Endpoint/JBAGAD
  • FHIR API: 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.

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.

Verify at the official NPI Registry.