Active NPI
Bernardita L De Los Reyes, M.D.
- Specialist
- Huntington Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A37605
- Practice address
- 2760 E Florence Ave
Huntington Park, CA 90255-5747 - Phone
- (323) 587-2222
- Fax
- (323) 587-3963
- NPI assigned
- Jul 11, 2006
- Last updated
- Oct 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A37605 | CA | Primary |
Addresses
Primary practice location
2760 E Florence Ave
Huntington Park, CA 90255-5747
Mailing address
PO Box 1159
Downey, CA 90240-0159
Phone (323) 587-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A376050 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8077 Florence Ave
Suite 112
Downey, CA 90240-3894
Phone (562) 904-6031
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A37605 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allsafe Medical Group Inc. | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| St Francis Medical Center, Inc | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| Saint Francis Medical Center | Past | Accepting new patients |
Locations
8077 Florence Ave
Ste 112
Downey, CA 90240
Phone (562) 904-6031
2760 E Florence Ave
Huntington Pk, CA 90255
Phone (213) 587-2222
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Downey, CA
- NPI 1457596371
-
dba Clinica Santa Isabel
- Obstetrics & Gynecology Nurse Practitioner
- Huntington Park, CA
- NPI 1912928540
-
dba UCSF Health Hyde Hospital
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
-
dba UCI Health Lakewood
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1538194352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1159",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902400159",
"telephone_number": "323-587-2222",
"fax_number": "323-587-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555747",
"telephone_number": "323-587-2222",
"fax_number": "323-587-3963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LOS REYES",
"first_name": "BERNARDITA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A37605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A376050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.