Active NPI
Johnny Reyes, EMT
- Driver
- San Jose, CA
National Provider Identifier
1538476569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- D5540761
- Practice address
- 4951 Cherry Ave Apt 274
San Jose, CA 95118-2743 - Phone
- (408) 661-8338
- NPI assigned
- Sep 13, 2010
- Last updated
- Sep 13, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | D5540761 | CA | Primary |
Addresses
Primary practice location
4951 Cherry Ave Apt 274
San Jose, CA 95118-2743
Mailing address
4951 Cherry Ave Apt 274
San Jose, CA 95118-2743
Phone (408) 661-8338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5540761 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1538476569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 CHERRY AVE APT 274",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951182743",
"telephone_number": "408-661-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 CHERRY AVE APT 274",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951182743",
"telephone_number": "408-661-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JOHNNY",
"name_prefix": "Mr.",
"credential": "EMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "D5540761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.