Active NPI
Charlene Mae Reyes
- Physical Medicine & Rehabilitation Physician
- Sacramento, CA
National Provider Identifier
1215599915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 49907
- Practice address
- 5665 Power Inn Rd Ste 121
Sacramento, CA 95824-2383 - Phone
- (916) 669-9038
- Fax
- (916) 529-4161
- NPI assigned
- Jul 2, 2019
- Last updated
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 Medicine & Rehabilitation Physician | 208100000X | 49907 | CA | Primary |
Addresses
Primary practice location
5665 Power Inn Rd Ste 121
Sacramento, CA 95824-2383
Mailing address
810 Kali PL
Rocklin, CA 95765-6102
Phone (916) 316-7200
Other practice location 1
6929 Sunrise Blvd Ste 110
Citrus Heights, CA 95610-3156
Phone (916) 669-9038 ext. 1
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 |
|---|---|---|---|
| 49907 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jagdeep Garcha P.T | Past | Accepting new patients |
Organizations & group practices 1
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": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1215599915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 KALI PL",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957656102",
"telephone_number": "916-316-7200",
"fax_number": "916-529-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 POWER INN RD STE 121",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958242383",
"telephone_number": "916-669-9038",
"fax_number": "916-529-4161"
}
],
"practiceLocations": [
{
"address_1": "6929 Sunrise Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Citrus Heights",
"state": "CA",
"postal_code": "956103156",
"country_code": "US",
"telephone_number": "916-669-9038 x1",
"fax_number": "916-529-4161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "CHARLENE",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "49907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.