Active NPI
Jesus Manuel Reyes, P.A.
- Medical Physician Assistant
- South Gate, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA17357
- Practice address
- 2715 Santa Ana St
South Gate, CA 90280-2021 - Phone
- (323) 583-0450
- Fax
- (323) 583-0012
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA17357 | CA | Primary |
| Pharmacist | 183500000X | 45117 | CA |
Addresses
Primary practice location
2715 Santa Ana St
South Gate, CA 90280-2021
Mailing address
2715 Santa Ana St
South Gate, CA 90280-2021
Phone (323) 583-0450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
235 E 17TH St
Costa Mesa, CA 92627-3831
Phone (949) 688-2010
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
28900 S Western Ave
Rancho Palos Verdes, CA 90275-0805
Phone (424) 702-0500
395 Silver Spur Rd
Rolling Hills Estates, CA 90274-3569
Phone (424) 323-3500
4200 E Pacific Coast
Suite 102
Long Beach, CA 90804-2107
Phone (562) 661-9100
4623 Eagle Rock Blvd
Los Angeles, CA 90041-3049
Phone (213) 878-5700
4730 Lincoln Blvd
Marina del Rey, CA 90292-6902
Phone (424) 352-0371
5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883
725 S Pacific Coast Hwy
Redondo Beach, CA 90277-4226
Phone (424) 296-3100
831 S State College Blvd
Anaheim, CA 92806-4613
Phone (714) 533-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17357 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exer Medical Corporation | Current | Accepting new patients |
Locations
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Family Medicine Physician
- South Gate, CA
- NPI 1952461774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1336182864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 SANTA ANA ST",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802021",
"telephone_number": "323-583-0450",
"fax_number": "323-583-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 SANTA ANA ST",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902802021",
"telephone_number": "323-583-0450",
"fax_number": "323-583-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JESUS",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA17357",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45117",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.