Active NPI
Reynaldo Concepcion
- Adult Psychiatric/Mental Health Registered Nurse
- Ventura, CA
National Provider Identifier
1083079867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 810578
- Practice address
- 200 Hillmont Avenue
Ventura, CA 93033 - Phone
- (180) 565-2755
- NPI assigned
- Dec 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 810578 | CA | Primary |
Addresses
Primary practice location
200 Hillmont Avenue
Ventura, CA 93033
Mailing address
200 Hillmont Ave.
Ventura, CA 93033
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810578 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1083079867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HILLMONT AVE.",
"city": "VENTURA",
"state": "CA",
"postal_code": "93033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HILLMONT AVENUE",
"city": "VENTURA",
"state": "CA",
"postal_code": "93033",
"telephone_number": "180-565-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION",
"first_name": "REYNALDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-22",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "810578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.