Active NPI
Elizabeth C Reeves, M.D.
- Family Medicine Physician
- Burbank, CA
National Provider Identifier
1306840665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A53466
- Practice address
- 607 S Glenoaks Blvd
Burbank, CA 91502-1424 - Phone
- (818) 557-2671
- Fax
- (818) 557-0761
- NPI assigned
- Jun 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A53466 | CA | Primary |
Addresses
Primary practice location
607 S Glenoaks Blvd
Burbank, CA 91502-1424
Mailing address
777 Flower St
Ste a
Glendale, CA 91201-3000
Phone (818) 637-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A534660 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53466 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1306840665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 FLOWER ST",
"address_2": "STE A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912013000",
"telephone_number": "818-637-2000",
"fax_number": "818-242-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 S GLENOAKS BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021424",
"telephone_number": "818-557-2671",
"fax_number": "818-557-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "ELIZABETH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A53466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A534660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.