Valvincent Abanilla Reyes, BCD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS11138 Issued in CA

Practice address

USA Meddac
Dr. Mary E. Walker Center Building 170
Fort Irwin, CA 92310

Phone

(760) 380-3631

Fax

(760) 380-6469

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1184681975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23031 PETROLEUM AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022831",
            "telephone_number": "310-418-7227",
            "fax_number": "310-539-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC",
            "address_2": "DR. MARY E. WALKER CENTER BUILDING 170",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-3631",
            "fax_number": "760-380-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "VALVINCENT",
        "middle_name": "ABANILLA",
        "credential": "BCD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Elon Plass, RN
• William James Pridgen, LPN, EMT
• Jeffrey Charles Ransom, NP
• Diana Lea Read, R.N.
• Samantha Reineck, RDN
• Austin Leon Ridgway Jr., MD
• Jonathan Rivera, N5
• Luis Raul Rivero, M.D., M.P.H.
• Ethel Lee Roberson, RN
• Roselva Mendoza Rosetelopez, RN

• Clinical Social Worker in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.