Reynald Joseph San Pedro Ferraz, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C133036 Issued in CA

Practice address

Victor Valley Behavioral Health
12625 Hesperia Road
Victorville, CA 92395

Phone

(951) 955-7320

NPI assigned

Nov 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of San Bernardino

  dba Department of Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Bernardino, CA
  • NPI 1164467023
  Medicare reassignment NPD
• County of San Bernardino

  dba Apple Valley Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, CA
  • NPI 1346950904
  NPD
• County of San Bernardino

  dba Victor Valley Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Victorville, CA
  • NPI 1699984997
  NPD
• State of Nevada

  dba Winnemucca Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winnemucca, NV
  • NPI 1275623530
  NPD (past)
• State of Nevada

  dba Silver Springs Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Springs, NV
  • NPI 1811079742
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1386824753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232906",
            "telephone_number": "725-248-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VICTOR VALLEY BEHAVIORAL HEALTH",
            "address_2": "12625 HESPERIA ROAD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "951-955-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRAZ",
        "first_name": "REYNALD JOSEPH",
        "middle_name": "SAN PEDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "12370",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "46519",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C133036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Fermin
• Blanca Renee Fernandez
• Jesus Francisco Fernandez, M.D., A.B.U.C.M.
• Monica Lilly Fernandez
• Wendy Fernandez
• Jessica Marie Ferreira
• Valerie Vannessa Ferretiz, RADT-1
• Annabel Lee Fields, PSY.D.
• Sara Fierro, LMFT
• Itzel Figueroa

• Psychiatry Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.