Individual provider Active NPI

Byron Omar Reynoso, D.P.T.

  • Orthopedic Physical Therapist
  • Corona, CA
National Provider Identifier
1164556700
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
33535 Issued in CA
Practice address
1171 Railroad St
Corona, CA 92882-8247
Phone
(951) 272-1400
Fax
(951) 272-9928
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 33535 CA Primary

Addresses

Primary practice location

1171 Railroad St
Corona, CA 92882-8247

Mailing address

16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (714) 367-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000371 CA Practitioner - Physical Therapist in Private Practice 1456403773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, 35 clinicians

Practice addresses (Care Compare)

1171 Railroad St
Suite 101
Corona, CA 92882-8247
Phone (951) 272-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500

1171 Railroad St
Ste 101
Corona, CA 92882
Phone (951) 272-1400

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

2226 Medical Center Dr
Ste 102
Perris, CA 92571
Phone (951) 657-1400

27455 Tierra Alta Way
Ste A
Temecula, CA 92590
Phone (951) 699-5282

Organizations & group practices 2

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164556700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "714-367-5360",
            "fax_number": "714-635-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 RAILROAD ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828247",
            "telephone_number": "951-272-1400",
            "fax_number": "951-272-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "BYRON",
        "middle_name": "OMAR",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "33535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.