Active NPI
Reynalyd Garcia
- Physical Therapist
- Anaheim, CA
National Provider Identifier
1215325592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36758
- Practice address
- 3067 W Orange Ave
Anaheim, CA 92804-3156 - Phone
- (714) 827-2440
- NPI assigned
- Jan 8, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36758 | CA | Primary |
Addresses
Primary practice location
3067 W Orange Ave
Anaheim, CA 92804-3156
Mailing address
3067 W Orange Ave
Anaheim, CA 92804
Other practice location 1
1872 W Admiral Ln
Anaheim, CA 92801-1775
Phone (714) 869-5816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36758 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1215325592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3067 W ORANGE AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3067 W ORANGE AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043156",
"telephone_number": "714-827-2440"
}
],
"practiceLocations": [
{
"address_1": "1872 W Admiral Ln",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928011775",
"country_code": "US",
"telephone_number": "714-869-5816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "REYNALYD",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.