Active NPI
Elisama Reyes
- Rehabilitation Practitioner
- Orange, CA
National Provider Identifier
1326729039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231 - Phone
- (657) 767-2719
- NPI assigned
- Jul 26, 2023
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231
Mailing address
1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231
Phone (657) 767-2719
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1326729039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W LA VETA AVE STE 660&470",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684231",
"telephone_number": "657-767-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W LA VETA AVE STE 660&470",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684231",
"telephone_number": "657-767-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ELISAMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-26",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.