Flordelis M Reyes, LICENSEE

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

075600201 Issued in CA

Practice address

810 Navaronne Way
Concord, CA 94518-2173

Phone

(925) 324-2611

Fax

(925) 849-5432

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1073382206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NAVARONNE WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182173",
            "telephone_number": "925-324-2611",
            "fax_number": "925-849-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NAVARONNE WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182173",
            "telephone_number": "925-324-2611",
            "fax_number": "925-849-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "FLORDELIS",
        "middle_name": "M",
        "credential": "LICENSEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "071440636",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "075601014",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "075600201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Mariela Reyes
• Elena Jazmin Reyes
• Emily Erika Reyes
• Erandy Reyes
• Erika Mae M Reyes
• Jason Alejo Reyes
• Jennifer Reyes, BS
• Luis Angel Reyes
• Moana Paloma Reyes
• Tabatha Nicole Reyes

• Assisted Living Facility in Concord, CA
• Providers in Concord, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.