Reyes Medical Group PC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

A53130 Issued in CA

Legal business name

REYES MEDICAL GROUP PC

Practice address

26900 Newport Rd
Ste. #110
Menifee, CA 92584-9222

Phone

(951) 672-8060

Fax

(951) 672-7490

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shamus Sean Sheridan, D.C.NPI 1104996008

Title

Clinic Director

Phone

(951) 672-8060

Specialties & licenses 1

Addresses

Other names 1

• Health Plus Inland Empire Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shamus Sean Sheridan, D.C.

  • Chiropractor
  • Menifee, CA
  • NPI 1104996008
  NPD (past) Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467560052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 NEWPORT RD",
            "address_2": "STE. #110",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849222",
            "telephone_number": "951-672-8060",
            "fax_number": "951-672-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 NEWPORT RD",
            "address_2": "STE. #110",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849222",
            "telephone_number": "951-672-8060",
            "fax_number": "951-672-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "SHAMUS",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "951-672-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "A53130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Plus Inland Empire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Retina Institute of California Medical Group
• Reveal It Aesthetics and Wellness, LLC
• Reviving You Recovery House LLC
• Reviving You Recovery House LLC
• Victoria Rew
• Jan Reyes
• Diana Reynoso
• Laura Reynoso
• Teresa Reynoso, M.D.
• Mary Isabel Richardson, MFT

• Point of Service in Menifee, CA
• Providers in Menifee, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.