Organization Active NPI

Ma. Mildred R. Rey, M.D.

  • Pediatrics Physician
  • Paramount, CA
National Provider Identifier
1295003085
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A393310 Issued in CA
Legal business name
MA. MILDRED R. REY, M.D.
Practice address
16415 Colorado Ave
Ste 308
Paramount, CA 90723-5035
Phone
(562) 630-5581
Fax
(562) 630-0411
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Ma. Mildred Rey, M.D.NPI 1669551891
Title
Doctor
Phone
(562) 630-5581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A393310 CA Primary

Addresses

Primary practice location

16415 Colorado Ave
Ste 308
Paramount, CA 90723-5035

Mailing address

16415 Colorado Ave
Ste 308
Paramount, CA 90723-5035
Phone (562) 630-5581

Other identifiers 1

IdentifierTypeStateIssuer
00A393310OtherCAMEDI-CAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1295003085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE",
            "address_2": "STE 308",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235035",
            "telephone_number": "562-630-5581",
            "fax_number": "562-630-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE",
            "address_2": "STE 308",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235035",
            "telephone_number": "562-630-5581",
            "fax_number": "562-630-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA. MILDRED R. REY, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "REY",
        "authorized_official_first_name": "MA. MILDRED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "562-630-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A393310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "00A393310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.