Active NPI
Mireya Reynoso
- Social Worker
- El Centro, CA
National Provider Identifier
1255859443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 97388
- Practice address
- 202 N 8TH St
El Centro, CA 92243-2302 - Phone
- (442) 265-1525
- NPI assigned
- Sep 7, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 97388 | CA | Primary |
| Rehabilitation Counselor | 225C00000X |
Addresses
Primary practice location
202 N 8TH St
El Centro, CA 92243-2302
Mailing address
202 N 8TH St
El Centro, CA 92243-2302
Phone (442) 265-1525
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 |
|---|---|---|---|
| 97388 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255859443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N 8TH ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922432302",
"telephone_number": "442-265-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N 8TH ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922432302",
"telephone_number": "442-265-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "MIREYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2022-07-21",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "97388",
"primary": true
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.