Individual provider Active NPI

David Reyes, MD

  • Emergency Medicine Physician
  • Hollister, CA
National Provider Identifier
1154364438
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A52992 Issued in CA
Practice address
591 McCray St Ste 101
Hollister, CA 95023
Phone
(831) 634-4444
Fax
(831) 634-4440
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A52992 CA Primary

Addresses

Primary practice location

591 McCray St Ste 101
Hollister, CA 95023

Mailing address

4 Rossi Cir Ste 101
Salinas, CA 93907-2358
Phone (831) 757-4444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040405000955 CA Practitioner - Emergency Medicine 2860380441 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52992CAMDGeneral Practice Dentistry
A52992CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Emergency Medical Group Emergency Medicine Past Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients
Watsonville Hospital Corporation Past Accepting new patients
Pinnacle Healthcare Past Accepting new patients

Locations

99 Airport Blvd
Freedom, CA 95019
Phone (831) 724-7521

591 McCray St
Ste 101
Hollister, CA 95023
Phone (831) 634-4444

285 Mercey Springs Rd
Ste A
Los Banos, CA 93635
Phone (209) 829-0444

947 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 422-5555

4 Rossi Cir
Ste 101
Salinas, CA 93907
Phone (831) 424-5565

2524 H Dela Rosa SR St
Soledad, CA 93960
Phone (831) 596-6500

Interoperability endpoints

  • Direct secure messaging: david.reyes@3856.securemail.prognocis.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1154364438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROSSI CIR STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939072358",
            "telephone_number": "831-757-4444",
            "fax_number": "831-757-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST STE 101",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-634-4444",
            "fax_number": "831-634-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A52992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.