Norman David Reyes MD a Professional Corporation

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A40111 Issued in CA

Legal business name

NORMAN DAVID REYES MD A PROFESSIONAL CORPORATION

Practice address

3941 J St
Suite 368
Sacramento, CA 95819-3624

Phone

(916) 733-6840

Fax

(916) 733-6980

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Norman David Reyes, M.D.

Title

Ceo

Phone

(916) 733-6840

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1285723254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 368",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193624",
            "telephone_number": "916-733-6840",
            "fax_number": "916-733-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 368",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193624",
            "telephone_number": "916-733-6840",
            "fax_number": "916-733-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN DAVID REYES MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-733-6840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A40111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A401110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Nore
• Barbara Noren, MSW
• Erik Richard Noren, M.D.
• David L Norene, M.D.
• Cristina Noriega
• Michelle Norman-Bryant, MFT INTERN
• Agnes Dorothy Norman, RN BSN PHN
• Bethany Nicole Norman
• Ivy D Norman
• Jonae Norman

• Vascular Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.