Active NPI
Stefan Thomas Reynoso, MD
- Family Medicine Physician
- Claremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A85033
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437207404 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (12 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurtt Family Health Clinic Inc. | Current | Accepting new patients | |
| Neal S Simpson MD a California Professional Medical Corporation | Family Medicine | Current | Accepting new patients |
| Premier Family Medicine Associates, Inc | Family Medicine | Current | Accepting new patients |
| Hurtt Family Health Clinic Inc. | Current | Accepting new patients | |
| Premier Family Medicine Associates, Inc | Family Medicine | Current | Accepting new patients |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| Hurtt Family Health Clinic Inc | Past | 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
- https://fhir4.healow.com/fhir/r4/ADEBAA
- 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.
-
- Health Service Clinic/Center
- Pomona, CA
- NPI 1912907114
CA, Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1144760943
-
- Federally Qualified Health Center (FQHC)
- Tustin, CA
- NPI 1306965587
-
- Family Medicine Physician
- Temecula, CA
- NPI 1497833941
Family Medicine
-
- Health Service Clinic/Center
- La Verne, CA
- NPI 1033634373
Family Medicine
-
- General Acute Care Hospital
- Hemet, CA
- NPI 1508939349
-
- Federally Qualified Health Center (FQHC)
- Santa Ana, CA
- NPI 1003250093
-
- Health Service Clinic/Center
- Claremont, CA
- NPI 1164668786
Family Medicine
-
- Health Service Clinic/Center
- Chino Hills, CA
- NPI 1730112426
Family Medicine
-
- Family Medicine Physician
- Temecula, CA
- NPI 1598791600
Family Medicine
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.