Individual provider Active NPI

Bernardita L De Los Reyes, M.D.

  • Specialist
  • Huntington Park, CA
National Provider Identifier
1538194352
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A37605 Issued in CA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A376050MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000833 CA Practitioner - Obstetrics/Gynecology 5092890855 Reassigns benefits to 1 organization

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
Allsafe Medical Group IncGroup PAC ID 8527245612, 17 clinicians

Practice addresses (Care Compare)

8077 Florence Ave
Suite 112
Downey, CA 90240-3894
Phone (562) 904-6031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A37605CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Allsafe Medical Group Inc. CurrentSince Feb 1, 2022 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.

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

Verify at the official NPI Registry.