Indira Reyes, B.A.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1890 N Garey Ave
Pomona, CA 91767-2923

Phone

(909) 629-2400

Fax

(909) 629-2445

NPI assigned

Sep 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Prototypes Centers for Innovation - Health, MH, & Social Services

  • Community/Behavioral Health Agency
  • Pomona, CA
  • NPI 1861675431
  NPD (past)

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1073847547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N CAMPUS AVE",
            "address_2": "NO. A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863924",
            "telephone_number": "909-289-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672923",
            "telephone_number": "909-629-2400",
            "fax_number": "909-629-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "INDIRA",
        "name_prefix": "Miss",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA COUNTY DMH",
            "identifier": "ICAN873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Retina Institute of California Medical Group
• Traci Reyes-Hale
• Aracely Emely Reyes
• Cynthia Reyes
• Emely Vanessa Reyes, RDN
• Jenna Christine Reyes
• Kately Reyes
• Kimberly Reyes
• Maria Isabel Reyes
• Stephanie Reyes

• Case Manager/Care Coordinator in Pomona, CA
• Providers in Pomona, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.