Ian Allan Reynolds, BOCP

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

463 Brewster Ave
#6
Redwood City, CA 94063-1785

Phone

(650) 368-9597

NPI assigned

Aug 5, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ian Allan Reynolds Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1487086195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 7TH AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633921",
            "telephone_number": "510-335-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 BREWSTER AVE",
            "address_2": "#6",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631785",
            "telephone_number": "650-368-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "IAN",
        "middle_name": "ALLAN",
        "credential": "BOCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC CERTIFICATION NUMBER",
            "identifier": "C51219",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IAN",
            "last_name": "REYNOLDS",
            "middle_name": "ALLAN",
            "credential": "BOCP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rescare California, Inc.
• Cassandra Rey
• Dani Reyes, R.A.S.
• Kristopher Josef Reyes
• Madison Aiyana Reyna
• Jocelyn Reynoso
• Lynette G Reynoso
• Oscar Reynoso
• Alison Lee Rhein, MD
• Jean CHI-Hee Rhim, MD

• Prosthetist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.