Jose K Reyes MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOSE K REYES MD INC

Practice address

1625 Tully Rd Ste a
San Jose, CA 95122-2541

Phone

(408) 929-0606

Fax

(408) 350-7319

NPI assigned

Mar 25, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jose K Reyes, MDNPI 1952454274

Title

Owner

Phone

(925) 487-4007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Keyser Reyes, MD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1952454274
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1356928402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 TULLY RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222541",
            "telephone_number": "408-929-0606",
            "fax_number": "408-350-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 TULLY RD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222541",
            "telephone_number": "408-929-0606",
            "fax_number": "408-350-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE K REYES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-487-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Jorgensen, ASW
• Nancy Ann Jorgensen, NP
• Julia Claire Jorgenson
• Paul Jorgenson
• Jose a. Adura-Miranda, MD, Inc
• Twinkle Jose Moothedan, RN
• Djana Celine Finones Jose Reloba, M.D.
• Joselito Cabaccan, MD
• Joseph a. Cu, MD, PC
• Chelsy Joseph

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.