Active NPI
Daniel Ernesto Reza
- Professional Counselor
- Westlake Village, CA
National Provider Identifier
1093341257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11854
- Practice address
- 31200 Via Colinas Ste 202
Westlake Village, CA 91362-3955 - Phone
- (661) 299-7022
- NPI assigned
- Mar 19, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11854 | CA | Primary |
Addresses
Primary practice location
31200 Via Colinas Ste 202
Westlake Village, CA 91362-3955
Mailing address
11358 Hickory LN
Pomona, CA 91766-4675
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 |
|---|---|---|---|
| 11854 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1093341257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11358 HICKORY LN",
"city": "POMONA",
"state": "CA",
"postal_code": "917664675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31200 VIA COLINAS STE 202",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913623955",
"telephone_number": "661-299-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZA",
"first_name": "DANIEL",
"middle_name": "ERNESTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-19",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "11854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.