Individual provider Active NPI

Robert L Reynoso, DC

  • Chiropractor
  • Downey, CA
National Provider Identifier
1396810776
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14210 Issued in CA
Practice address
10727 Paramount Blvd
Suite 5
Downey, CA 90241-3336
Phone
(562) 862-0754
Fax
(562) 862-2016
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC14210 CA Primary

Addresses

Primary practice location

10727 Paramount Blvd
Suite 5
Downey, CA 90241-3336

Mailing address

10727 Paramount Blvd
Suite 5
Downey, CA 90241-3336
Phone (562) 862-0754

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1396810776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10727 PARAMOUNT BLVD",
            "address_2": "SUITE 5",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413336",
            "telephone_number": "562-862-0754",
            "fax_number": "562-862-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 PARAMOUNT BLVD",
            "address_2": "SUITE 5",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413336",
            "telephone_number": "562-862-0754",
            "fax_number": "562-862-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.