Reyes Medical Associates, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A50615 Issued in CA

Legal business name

REYES MEDICAL ASSOCIATES, INC

Practice address

408 S Beach Blvd Ste 111
Anaheim, CA 92804-1866

Phone

(714) 826-8800

Fax

(714) 226-9760

NPI assigned

Aug 31, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Antonio T. Reyes

Title

President

Phone

(714) 826-8800

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1326355173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 111",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041866",
            "telephone_number": "714-826-8800",
            "fax_number": "714-226-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 111",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041866",
            "telephone_number": "714-826-8800",
            "fax_number": "714-226-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-826-8800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A50615",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A50588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A50588",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A50615",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dashaini Victoria Retnasothie, OD, MSC, BSC
• Brina Revelas, NURSE PRACTITIONER
• Victor Reveles
• Revision
• Matthew Rexinger, PA-C
• Sara Y Reyes Molina
• Oscar Reyes Zarate
• Dalila Marie Reyes-Rochin
• Abraham L. Reyes, MD
• Antonio Tenorio Reyes, M.D.

• Primary Care Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.