Individual provider Active NPI

Leticia Garcia Reyes, PA-C

  • Physician Assistant
  • Dinuba, CA
National Provider Identifier
1184491094
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63802 Issued in CA
Practice address
317 W El Monte Way
Dinuba, CA 93618-1557
Phone
(559) 591-6200
NPI assigned
Dec 11, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63802 CA Primary

Addresses

Primary practice location

317 W El Monte Way
Dinuba, CA 93618-1557

Mailing address

317 W El Monte Way
Dinuba, CA 93618-1557
Phone (559) 591-6200

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
I20240109004255 CA Order and Referring Only - Physician Assistant 7416308937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63802CAMDPharmacist
PA63802CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anand Narayan MD Inc Past Accepting new patients
Anand Narayan MD Inc PastSince Jul 21, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1184491094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W EL MONTE WAY",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936181557",
            "telephone_number": "559-591-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W EL MONTE WAY",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936181557",
            "telephone_number": "559-591-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA REYES",
        "first_name": "LETICIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dinuba, CA

Sources for this page

Verify at the official NPI Registry.