Individual provider Active NPI

Mary Claire Reyes Galzote, RN

  • Administrator Registered Nurse
  • Lincoln, CA
National Provider Identifier
1053580340
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
619054 Issued in CA
Practice address
405 Foskett Ranch CT
Lincoln, CA 95648-2956
Phone
(650) 219-7315
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 619054 CA Primary

Addresses

Primary practice location

405 Foskett Ranch CT
Lincoln, CA 95648-2956

Mailing address

405 Foskett Ranch CT
Lincoln, CA 95648-2956
Phone (650) 219-7315

Other names 1

  • Mary Claire Reyes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
619054CAMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1053580340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FOSKETT RANCH CT",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482956",
            "telephone_number": "650-219-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FOSKETT RANCH CT",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482956",
            "telephone_number": "650-219-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES GALZOTE",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "619054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "REYES",
            "middle_name": "CLAIRE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.