Cipriano M de Los Reyes Jr MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A29537 Issued in CA

Legal business name

CIPRIANO M DE LOS REYES JR MD INC

Practice address

2644 Appian Way
#111
Pinole, CA 94564-2240

Phone

(510) 222-2121

Fax

(510) 222-2126

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Cipriano M De Los Reyes Jr., MD

Title

President Owner

Phone

(510) 222-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114011186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 APPIAN WAY",
            "address_2": "#111",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642240",
            "telephone_number": "510-222-2121",
            "fax_number": "510-222-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 APPIAN WAY",
            "address_2": "#111",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642240",
            "telephone_number": "510-222-2121",
            "fax_number": "510-222-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIPRIANO M DE LOS REYES JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE LOS REYES",
        "authorized_official_first_name": "CIPRIANO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "510-222-2121",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A29537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A295370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Choh
• Christine Choi
• Young Choi, O.D.
• Leslie C. Chow, D.M.D.
• Morgan Christiansen, PT, DPT
• Zarinah Clark
• Claudell Stephens MD and Yvonne Cobbs NP Medical Practices
• Lewis Clayman, D.M.D., M.D.
• Yvonne Carlisa Cobbs, DNP, ANP-C, PHN. RN
• Katherine Elizabeth Coder

• Internal Medicine Physician in Pinole, CA
• Providers in Pinole, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.