Individual provider Active NPI

Atman Ranii Reyes, MD INC

  • Psychiatry Physician
  • Moorpark, CA
National Provider Identifier
1033228382
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A65293 Issued in CA
Practice address
893 Patriot Dr Ste a
Moorpark, CA 93021-3357
Phone
(805) 531-1000
Fax
(805) 531-1100
NPI assigned
Aug 30, 2006
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A65293 CA Primary

Addresses

Primary practice location

893 Patriot Dr Ste a
Moorpark, CA 93021-3357

Mailing address

893 Patriot Dr Ste a
Moorpark, CA 93021-3357
Phone (805) 531-1000

Other identifiers 1

IdentifierTypeStateIssuer
00A652930MedicaidCA

Other names 1

  • Dr. Atman Ranii Reyes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081017000084 CA Practitioner - Psychiatry 5890853048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

893 Patriot Dr
Suite a
Moorpark, CA 93021-3357
Phone (805) 531-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65293CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance for Wellness, Inc. Psychiatry CurrentSince Sep 21, 2024 Accepting new patients
Tamika Henry MD Inc PastSince Jan 7, 2025 Accepting new patients
Passages Silver Strand, LLC Past Accepting new patients

Locations

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

9250 Reseda Blvd
Ste 658
Northridge, CA 91324

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1033228382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 PATRIOT DR STE A",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213357",
            "telephone_number": "805-531-1000",
            "fax_number": "805-531-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 PATRIOT DR STE A",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213357",
            "telephone_number": "805-531-1000",
            "fax_number": "805-531-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ATMAN",
        "middle_name": "RANII",
        "name_prefix": "Dr.",
        "credential": "MD INC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A65293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A652930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATMAN",
            "last_name": "REYES",
            "middle_name": "RANII",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

Verify at the official NPI Registry.