Active NPI
Byron Omar Reynoso, D.P.T.
- Orthopedic Physical Therapist
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 33535
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Current | 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.
-
- Specialist
- Ontario, CA
- NPI 1740221472
-
- Specialist
- Colton, CA
- NPI 1063787380
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.