Individual provider Active NPI

Eileen Eulalia Reynoso

  • Marriage & Family Therapist
  • Oxnard, CA
National Provider Identifier
1225612724
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
147868 Issued in CA
Practice address
2500 S C St
Oxnard, CA 93033-4560
Phone
(805) 368-3829
NPI assigned
May 11, 2021
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 147868 CA Primary

Addresses

Primary practice location

2500 S C St
Oxnard, CA 93033-4560

Mailing address

2500 S C St Ste D
Oxnard, CA 93033-4574
Phone (805) 385-9460

Other practice location 1

300 Hillmont Ave Bldg 340 Ste 302
Ventura, CA 93003
Phone (805) 652-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Aug 18, 2024 Accepting new patients

Locations

1911 Williams Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-5478

2500 S C St
Ste D
Oxnard, CA 93033
Phone (805) 385-9460

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8cf1bb66-7b18-4eaa-b641-538f19feb923/

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1225612724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S C ST STE D",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334574",
            "telephone_number": "805-385-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S C ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334560",
            "telephone_number": "805-368-3829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hillmont Ave Bldg 340 Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "93003",
            "country_code": "US",
            "telephone_number": "805-652-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "EILEEN",
        "middle_name": "EULALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "147868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.