Individual provider Active NPI

Maria Lina G Garcia-Reyes, REGISTERED NURSE

  • Administrator Registered Nurse
  • Long Beach, CA
National Provider Identifier
1386861953
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
487912 Issued in CA
Practice address
3249 San Francisco Ave
Long Beach, CA 90806-1215
Phone
(562) 492-6892
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 487912 CA Primary

Addresses

Primary practice location

3249 San Francisco Ave
Long Beach, CA 90806-1215

Mailing address

3249 San Francisco Ave
Long Beach, CA 90806-1215
Phone (562) 492-6892

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

State licenses

LicenseStateTypeSpecialty
487912CAMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386861953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 SAN FRANCISCO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061215",
            "telephone_number": "562-492-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 SAN FRANCISCO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061215",
            "telephone_number": "562-492-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-REYES",
        "first_name": "MARIA LINA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "487912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.