Nathan Russell Reyes

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

550 Harvest Park Dr Ste B
Brentwood, CA 94513-4058

Phone

(530) 265-9057

NPI assigned

Sep 23, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Mountain Valley Child and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Brentwood, CA
  • NPI 1295548691
  NPD

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1104798578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HAYSTACK CT",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132500",
            "telephone_number": "408-882-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HARVEST PARK DR STE B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134058",
            "telephone_number": "530-265-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "NATHAN",
        "middle_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Reyes Rivera III
• Brenda Reyes, DDS
• Brian Arellano Reyes, M.D.
• Carrington Armanti Reyes
• Kimberly Reyes
• Jill Denise Reynolds
• Elizabeth Ann Rhodes
• Kara Rhynes, B.S.
• Sheila Ribaya
• Kaiya Divine Rich-Hilton

• Day Training/Habilitation Specialist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.