Individual provider Active NPI

Stefan Thomas Reynoso, MD

  • Family Medicine Physician
  • Claremont, CA
National Provider Identifier
1437207404
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A85033 Issued in CA
Practice address
1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600
Phone
(909) 865-9977
Fax
(909) 469-2119
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A85033 CA Primary

Addresses

Primary practice location

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600

Mailing address

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600
Phone (909) 865-9977

Other practice location 1

2333 Foothill Blvd Ste C
LA Verne, CA 91750-3027
Phone (909) 392-6511

Other practice location 2

3110 Chino Ave Ste 150B
Chino Hills, CA 91709-1295
Phone (909) 630-6268

Other identifiers 1

IdentifierTypeStateIssuer
1437207404MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000589 CA Practitioner - Family Practice 3577509959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahneman Medical College of the Pacific, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Premier Family Medicine Associates, Inc 65 clinicians

Practice addresses (Care Compare)

1601 Monte Vista Ave
Suite 100
Claremont, CA 91711-6601
Phone (909) 630-7893

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
Hurtt Family Health Clinic Inc. CurrentSince Dec 4, 2019 Accepting new patients
Neal S Simpson MD a California Professional Medical Corporation Family Medicine CurrentSince Jul 6, 2009 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Jan 15, 2013 Accepting new patients
Hurtt Family Health Clinic Inc. CurrentSince Dec 4, 2019 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Jan 15, 2013 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Hurtt Family Health Clinic Inc PastSince Dec 4, 2019 Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Rancho Family Medical Group, Inc. Family Medicine Past Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 260
Anaheim, CA 92805

3110 Chino Ave
Ste 150A
Chino Hills, CA 91709
Phone (909) 630-7490

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

3110 Chino Ave
Ste 150B
Chino Hills, CA 91709
Phone (909) 630-7868

1601 Monte Vista Ave
Ste 190
Claremont, CA 91711
Phone (909) 865-9977

1601 Monte Vista Ave
Ste 100
Claremont, CA 91711
Phone (909) 630-7938

2333 Foothill Blvd
Ste B
La Verne, CA 91750
Phone (909) 392-6501

2333 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 392-6511

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

1695 S San Jacinto Ave
Ste K
San Jacinto, CA 92583
Phone (951) 654-9991

1100 N Tustin Ave
Ste Adf
Santa Ana, CA 92705

1100 N Tustin Ave
Ste A
Santa Ana, CA 92705
Phone (714) 835-6055

31150 Temecula Pkwy
Ste 202
Temecula, CA 92592
Phone (951) 302-9468

1 Hope Dr
Tustin, CA 92782
Phone (714) 247-4398

14642 Newport Ave
Ste 200
Tustin, CA 92780
Phone (714) 669-4466

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEBAA
  • Direct secure messaging: stefan.reynoso.p1@direct.fhccgla.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1437207404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 190",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116600",
            "telephone_number": "909-865-9977",
            "fax_number": "909-469-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 190",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116600",
            "telephone_number": "909-865-9977",
            "fax_number": "909-469-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Foothill Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917503027",
            "country_code": "US",
            "telephone_number": "909-392-6511",
            "fax_number": "909-469-2137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 Chino Ave Ste 150B",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917091295",
            "country_code": "US",
            "telephone_number": "909-630-6268",
            "fax_number": "909-469-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "STEFAN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437207404",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.