Active NPI
Tommy Alex Reyes
- Chore Provider
- Baldwin Park, CA
National Provider Identifier
1356169148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806 - Phone
- (626) 720-9663
- NPI assigned
- Sep 30, 2024
- Last updated
- Sep 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Mailing address
14070 Rexwood Ave
Baldwin Park, CA 91706-4939
Phone (626) 720-9663
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": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1356169148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14070 REXWOOD AVE",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917064939",
"telephone_number": "626-720-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 BALDWIN PARK BLVD",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917065806",
"telephone_number": "626-720-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "TOMMY",
"middle_name": "ALEX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.