Active NPI
Joseph Daniel Reyes, 15792-RAC
- Addiction (Substance Use Disorder) Counselor
- Norwalk, CA
National Provider Identifier
1396459343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15792-RAC
- Practice address
- 11894 Rosecrans Ave
Norwalk, CA 90650 - Phone
- (562) 929-7188
- Fax
- (562) 929-7575
- NPI assigned
- Jan 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15792-RAC | CA | Primary |
Addresses
Primary practice location
11894 Rosecrans Ave
Norwalk, CA 90650
Mailing address
1207 E Fruit St
Santa Ana, CA 92701-4206
Phone (949) 239-8460
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15792-RAC | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1396459343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 E FRUIT ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014206",
"telephone_number": "949-239-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11894 ROSECRANS AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-929-7188",
"fax_number": "562-929-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JOSEPH",
"middle_name": "DANIEL",
"credential": "15792-RAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-12",
"last_updated": "2023-11-16",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "15792-RAC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.