Individual provider Active NPI

Richard Reamico, NP

  • Nephrology Registered Nurse
  • Buena Park, CA
National Provider Identifier
1174348601
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology Registered NurseTaxonomy code 163WN0300X
License
95032636 Issued in CA
Practice address
7611 Western Ave
Buena Park, CA 90620-1814
Phone
(714) 606-6000
NPI assigned
Nov 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WN0300X 95032636 CA Primary

Addresses

Primary practice location

7611 Western Ave
Buena Park, CA 90620-1814

Mailing address

7611 Western Ave
Buena Park, CA 90620-1814
Phone (714) 606-6000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231002221 CA Practitioner - Nurse Practitioner 2365667037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coast Nephrology Medical Group Inc.Group PAC ID 8628034659, 7 clinicians

Practice addresses (Care Compare)

2699 Atlantic Ave
Long Beach, CA 90806-2710
Phone (562) 426-3333

3780 Kilroy Airport Way
Suite 115
Long Beach, CA 90806-2458
Phone (562) 595-7426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Nephrology Medical Group Inc. Single Specialty CurrentSince Jan 1, 2025 Accepting new patients

Locations

2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105

3780 Kilroy Airport Way
Ste 115
Long Beach, CA 90806
Phone (562) 595-7426

Interoperability endpoints

  • Direct secure messaging: rreamico42375@direct.davitaphysiciansolutions.com

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": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1174348601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 WESTERN AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201814",
            "telephone_number": "714-606-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 WESTERN AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201814",
            "telephone_number": "714-606-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAMICO",
        "first_name": "RICHARD",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Nephrology",
            "state": "CA",
            "license": "95032636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.