Individual provider Active NPI

Desarie Elizabeth Reynosa, PPS

  • School Counselor
  • Buena Park, CA
National Provider Identifier
1558294447
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
260119708 Issued in CA
Practice address
7101 Stanton Ave
Buena Park, CA 90621-3825
Phone
(714) 521-8568
NPI assigned
Jun 8, 2026
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 260119708 CA Primary

Addresses

Primary practice location

7101 Stanton Ave
Buena Park, CA 90621-3825

Mailing address

6885 Orangethorpe Ave
Buena Park, CA 90620-1348
Phone (714) 522-8412

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

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Park School District 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": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1558294447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201348",
            "telephone_number": "714-522-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 STANTON AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213825",
            "telephone_number": "714-521-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSA",
        "first_name": "DESARIE",
        "middle_name": "ELIZABETH",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "260119708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.