Individual provider Active NPI

Karl Lexter Reyes

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1275992190
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003597 Issued in CA
Practice address
3565 Del Amo Blvd
Torrance, CA 90503-1637
Phone
(310) 214-5723
NPI assigned
Feb 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003597 CA Primary

Addresses

Primary practice location

3565 Del Amo Blvd
Torrance, CA 90503-1637

Mailing address

22470 Denker Ave
Torrance, CA 90501-4223

Other practice location 1

17050 Chatsworth St
Ste 245
Granada Hills, CA 91344-5847
Phone (747) 237-9507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160701001636 CA Practitioner - Nurse Practitioner 0244522787 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 11, 2017 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 10, 2024 Accepting new patients
Care Connect Medical Group CurrentSince Jul 15, 2017 Accepting new patients
Universal Care CurrentSince Oct 10, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 11, 2017 Accepting new patients
Certified Home Health Care, Inc Past Accepting new patients
A Life Care Hospice Inc. PastSince Apr 26, 2020 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

436 W Colorado St
Ste 210C
Glendale, CA 91204
Phone (866) 227-3310

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

3565 Del Amo Blvd
Torrance, CA 90503

Interoperability endpoints

  • Direct secure messaging: kreyes14446@direct-prd.molinahealthcare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1275992190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22470 DENKER AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031637",
            "telephone_number": "310-214-5723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17050 Chatsworth St",
            "address_2": "STE 245",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445847",
            "country_code": "US",
            "telephone_number": "747-237-9507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "KARL LEXTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-20",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.