Jacobo Machuca Reyes, BA, CADCIII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

B00003761224 Issued in CA

Practice address

520 N la Brea Ave
Inglewood, CA 90302-3049

Phone

(323) 933-9022

Fax

(323) 933-4029

NPI assigned

Dec 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Asian American Drug Abuse Program, Inc

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1174958359
  NPD (past)
• Asian American Drug Abuse Program, Inc

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1194150375
  NPD (past)
• Asian American Drug Abuse Program, Inc

  • Community/Behavioral Health Agency
  • Inglewood, CA
  • NPI 1326388745
  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1477068005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 PATRITTI AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063503",
            "telephone_number": "323-636-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023049",
            "telephone_number": "323-933-9022",
            "fax_number": "323-933-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5825 W Olympic Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900364612",
            "country_code": "US",
            "telephone_number": "323-933-9022",
            "fax_number": "323-933-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "JACOBO",
        "middle_name": "MACHUCA",
        "credential": "BA, CADCIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "B00003761224",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "R1282711117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill J. Releford, DPM
• Reliable Advanced Clinicians Inc
• Pricilla Adelia Requena
• Antonio Reyes Jr.
• Ashleylauren Reyes, LMFT
• Jose Antonio Reyes
• Katherine Brittany Reyes, BA
• Natali Reyes
• Paul Richardson Sr.
• Rifats Medical Supply

• Addiction (Substance Use Disorder) Counselor in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.