Active NPI
Rosa T Reyes
- Counselor
- National City, CA
National Provider Identifier
1417068362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1840 Wilson Ave
National City, CA 91950-5515 - Phone
- (619) 477-0757
- Fax
- (619) 477-0799
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1840 Wilson Ave
National City, CA 91950-5515
Mailing address
1019 40TH St
San Diego, CA 92102-3422
Phone (619) 507-0214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8641 | Other | CA | UBH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417068362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 40TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921023422",
"telephone_number": "619-507-0214",
"fax_number": "619-477-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 WILSON AVE",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919505515",
"telephone_number": "619-477-0757",
"fax_number": "619-477-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ROSA",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "8641",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in National City, 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.