Individual provider Active NPI

Reyna Acela Reynaga-Vargas, FNP-C

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1407356918
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008645 Issued in CA
Practice address
8856 Arlington Ave
Riverside, CA 92503-1365
Phone
(833) 867-4642
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008645 CA Primary

Addresses

Primary practice location

8856 Arlington Ave
Riverside, CA 92503-1365

Mailing address

5430 Arlington Ave
Riverside, CA 92504-2505
Phone (951) 689-2955

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190614002117 CA Practitioner - Nurse Practitioner 1052644507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

4371 Latham St
Riverside, CA 92501-1706
Phone (833) 867-4642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008645CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Mar 11, 2024 Accepting new patients
Dap Health, Inc. Current Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 9, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 9, 2022 Accepting new patients
Neighborhood Healthcare CurrentSince Mar 11, 2024 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

308 W 6th St
Ste 109
Corona, CA 92882

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

425 N Date St
#0
Escondido, CA 92025

40690 California Oaks Rd
Murrieta, CA 92562

4371 Latham St
#200
Riverside, CA 92501

8856 Arlington Ave
Riverside, CA 92503
Phone (951) 353-2702

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Interoperability endpoints

  • Direct secure messaging: rreynagavargas23066@epiclp.direct-ci.com
  • Direct secure messaging: first.last@49412312072196.direct.elationemr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1407356918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042505",
            "telephone_number": "951-689-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8856 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031365",
            "telephone_number": "833-867-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNAGA-VARGAS",
        "first_name": "REYNA",
        "middle_name": "ACELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.