Individual provider Active NPI

Ileana Reit, NP

  • Women's Health Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1548435092
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
17872 Issued in CA
Practice address
1433 W Merced Ave
#103
West Covina, CA 91790-3402
Phone
(626) 337-8000
Fax
(626) 337-1145
NPI assigned
Apr 25, 2008
Last updated
Dec 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 17872 CA Primary

Addresses

Primary practice location

1433 W Merced Ave
#103
West Covina, CA 91790-3402

Mailing address

1433 W Merced Ave
#103
West Covina, CA 91790-3402
Phone (626) 337-8000

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
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Century Family Medical Group, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1548435092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "#103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-337-8000",
            "fax_number": "626-337-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "#103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-337-8000",
            "fax_number": "626-337-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIT",
        "first_name": "ILEANA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "17872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.