Richard William Reis, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NA716 Issued in CA

Practice address

400 North Pepper Avenue 2ND Floor, Anesthesia Dept.
Inland Empire Anesthesia Medical Group, Inc.
Colton, CA 92324-0765

Phone

(909) 580-2440

Fax

(909) 580-2441

NPI assigned

Dec 13, 2005

Last updated

Jun 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arrowhead Regional Medical Center

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  • Buena Park, CA
  • NPI 1306392618
  Authorized official Same address or phone
• Kris J Storkersen M D Inc

  • Ophthalmology Physician
  • Colton, CA
  • NPI 1679100721
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1023093929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240800",
            "telephone_number": "909-889-7084",
            "fax_number": "909-889-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NORTH PEPPER AVENUE 2ND FLOOR, ANESTHESIA DEPT.",
            "address_2": "INLAND EMPIRE ANESTHESIA MEDICAL GROUP, INC.",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240765",
            "telephone_number": "909-580-2440",
            "fax_number": "909-580-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA716",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "NA716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN3139800",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430079039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmin Regalado
• Michael T Reid, CRNA
• Michaela Carolyn Reid
• Louis Samuel Reier, D.O.
• Dale Arthur Reile, CRNA
• Jamie Reisch
• Ana Caroline Teles Remigio, FNP
• Kaeson Rempel
• Cesar A. Renteria
• Christine J Rentz, P.A.

• Certified Registered Nurse Anesthetist in Colton, CA
• Providers in Colton, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.