Evangeline A Reyes, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A64361 Issued in CA

Practice address

260 E. Ontario Avenue
Ste. # 101
Corona, CA 92879

Phone

(951) 371-2411

Fax

(951) 284-0177

NPI assigned

Jun 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Compassionate Cancer Care Medical Group, Inc.

  • Specialist
  • Fountain Valley, CA
  • NPI 1548248032
  Medicare reassignment NPD
• Inland Empire Imaging

  • Physiological Laboratory
  • Corona, CA
  • NPI 1295141950
  NPD (past)
• Pacific Coast Hematology Oncology Medical Group Inc

  • Hematology & Oncology Physician
  • Fountain Valley, CA
  • NPI 1265500318
  NPD (past)
• Stephen William Doggett, M.D. PA

  • Radiation Oncology Physician
  • Newport Beach, CA
  • NPI 1427281666
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1144224908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST STREET",
            "address_2": "STE. # 6100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087516",
            "telephone_number": "714-698-0300",
            "fax_number": "714-698-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E. ONTARIO AVENUE",
            "address_2": "STE. # 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-371-2411",
            "fax_number": "951-284-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "EVANGELINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A64361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A643610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ailsa Reyes
• Amy Reyes
• Cindy Reyes
• Deandra Reyes
• Erika Crystal Reyes, PA-C
• Katy Tatiana Reyes
• Kristyan Alani Reyes
• Roberto Reyes
• Carmen Reyna, ACSW
• Avuse Antionette Reynolds

• Specialist in Corona, CA
• Providers in Corona, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.