Eric Efren Reyes

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120497 Issued in CA

Practice address

16210 Tao Rd
Apple Valley, CA 92307-1537

Phone

(760) 680-1035

NPI assigned

Aug 19, 2020

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

State licenses

Practice roles

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.

• Valley Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Downey, CA
  • NPI 1396491973
  NPD (past)
• Valley Star Behavioral Health, Inc.

  • Licensed Psychiatric Technician
  • Colton, CA
  • NPI 1558849141
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1114539343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16210 TAO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071537",
            "telephone_number": "760-680-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16210 TAO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071537",
            "telephone_number": "760-680-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ERIC",
        "middle_name": "EFREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavonne Renno, LPCC8744
• John Paul Renteria
• Emily Jean Reul, DPT
• Revival Recovery Services
• Ashley Reyes
• Julian Reyes
• Mikailyn Reyes
• Noemi Reyes
• Miguel Reynoso
• Reza Ahmadinia, M.D., Inc

• Clinical Social Worker in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Clinical Social Worker in California

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

Verify at the official NPI Registry.