Active NPI
Patricia Reyna
- Social Worker
- Sacramento, CA
National Provider Identifier
1144537036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 66809
- Practice address
- 2150 Stockton Blvd
Sacramento, CA 95817-1337 - Phone
- (916) 876-4122
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 66809 | CA | Primary |
Addresses
Primary practice location
2150 Stockton Blvd
Sacramento, CA 95817-1337
Mailing address
9809 Deep Water LN
Stockton, CA 95219-4952
Phone (213) 700-6307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1144537036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9809 DEEP WATER LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952194952",
"telephone_number": "213-700-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171337",
"telephone_number": "916-876-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNA",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "66809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.