Reanna Mazuka

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2975 McMillan Ave Ste 162
San Luis Obispo, CA 93401-6768

Phone

(805) 439-4890

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1194439224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RIVER RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939089601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 MCMILLAN AVE STE 162",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016768",
            "telephone_number": "805-439-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUKA",
        "first_name": "REANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Renee Mayberry
• Teal Maydak
• Amy Elizabeth Mayfield
• David L Mayfield, L.C.S.W.
• Maxwell Mayfield
• Michael Mazzella, MS
• Frank Mazzone, MD
• Chidera Mbonu
• Amanda Nicole Maciel McBride
• Kelly Joy McBride

• Case Manager/Care Coordinator in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.