Active NPI
Christina Marie Reichert, NP
- Family Nurse Practitioner
- San Pedro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20927
- Practice address
- 3717 Roxbury St
San Pedro, CA 90731-6442 - Phone
- (310) 623-0502
- NPI assigned
- Jan 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 20927 | CA | |
| Family Nurse Practitioner | 363LF0000X | 20927 | CA | Primary |
Addresses
Primary practice location
3717 Roxbury St
San Pedro, CA 90731-6442
Mailing address
3300 E South St
Suite 206
Lakewood, CA 90805-4549
Phone (562) 232-2378
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rohun Medical Corporation | Current | Accepting new patients | |
| Sylvia J Shaw MD a Medical Corp | Current | Accepting new patients | |
| Reza Sharafi MD Inc | Current | Accepting new patients | |
| Oceans Edge Wellness Inc | Current | Accepting new patients |
Locations
11544 Downey Ave
Downey, CA 90241
Phone (562) 414-9846
3300 E South St
Ste 206
Lakewood, CA 90805
Phone (562) 232-2378
3700 South St
Lakewood, CA 90712
Phone (562) 424-2900
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
3621 Martin Luther King Jr Blvd
Ste 6
Lynwood, CA 90262
Phone (310) 537-1503
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Downey, CA
- NPI 1255777843
-
- Specialist
- Lakewood, CA
- NPI 1154693307
-
- Endocrinology, Diabetes & Metabolism Physician
- Lynwood, CA
- NPI 1619154457
-
- Addiction Medicine (Internal Medicine) Physician
- San Pedro, CA
- NPI 1942021498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1457623969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 E SOUTH ST",
"address_2": "SUITE 206",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "908054549",
"telephone_number": "562-232-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 ROXBURY ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907316442",
"telephone_number": "310-623-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHERT",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "20927",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.