Alfred T Reyno, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15455 Issued in CA

Practice address

10861 Cherry Street
Suite 302
Los Alamitos, CA 90720-5403

Phone

(562) 490-1011

Fax

(562) 594-9226

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alfred.reyno@losalgastro.directbygreenway.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73769
• Direct secure messaging: areyno@socalgastro.directbygreenway.com

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.

• Socal Gastroenterology Corp.

  • Gastroenterology Physician
  • Los Alamitos, CA
  • NPI 1124770508
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1093832578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY STREET",
            "address_2": "SUITE 302",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-490-1011",
            "fax_number": "562-594-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY STREET",
            "address_2": "SUITE 302",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-490-1011",
            "fax_number": "562-594-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNO",
        "first_name": "ALFRED",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kathleen Reeves, MS, CCC-SLP
• Regency Hospice Care, Inc.
• Terri M Rembuskos, PA-C
• Charles J Rennie, MD
• Rex J. Winters,MD ;Inc
• Adrienne Reynolds
• Vanessa Reynolds, LVN
• Richard Blackburn DMD, Inc
• Richler Medical Corporation
• Aaron Richler, M.D.

• Physician Assistant in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.