Individual provider Active NPI

Regina Jane Mayonte Reyes

  • Speech-Language Pathologist
  • Placentia, CA
National Provider Identifier
1407446297
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15196 Issued in CA
Practice address
1150 E Orangethorpe Ave Ste 107
Placentia, CA 92870-5203
Phone
(714) 823-3361
Fax
(714) 823-3361
NPI assigned
Jan 25, 2021
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 32795 CA
Speech-Language Pathologist 235Z00000X 15196 CA Primary

Addresses

Primary practice location

1150 E Orangethorpe Ave Ste 107
Placentia, CA 92870-5203

Mailing address

7221 Berry Creek St
Eastvale, CA 92880-9438
Phone (909) 720-2460

Other practice location 1

7221 Berry Creek St
Eastvale, CA 92880-9438
Phone (909) 720-2460

Other practice location 2

2616 Clarendon Ave
Huntington Park, CA 90255-4120
Phone (323) 583-2634

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1407446297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 BERRY CREEK ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809438",
            "telephone_number": "909-720-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E ORANGETHORPE AVE STE 107",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705203",
            "telephone_number": "714-823-3361",
            "fax_number": "714-823-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7221 Berry Creek St",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "928809438",
            "country_code": "US",
            "telephone_number": "909-720-2460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2616 Clarendon Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902554120",
            "country_code": "US",
            "telephone_number": "323-583-2634",
            "fax_number": "323-585-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "REGINA JANE",
        "middle_name": "MAYONTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "32795",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.