Reenvision Aesthetics and Medspa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REENVISION AESTHETICS AND MEDSPA

Practice address

2650 Jones Way Ste 8
Simi Valley, CA 93065-1217

Phone

(818) 577-3925

NPI assigned

Sep 15, 2026

Organization subpart

No

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

Authorized official

Name

Jonathan Martin

Title

Office Manager

Phone

(818) 577-3925

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1568373777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5746 ZELZAH AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161155",
            "telephone_number": "818-577-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JONES WAY STE 8",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651217",
            "telephone_number": "818-577-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENVISION AESTHETICS AND MEDSPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-577-3925"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepa K Reddy, M.D.
• Muni Nanjunda Reddy, MD
• Shashi Kant Reddy, MD
• Nancy Lee Redgate, PT
• Linda Diane Reed, DPT
• Regents of the University of California (UCLA Integrated Provider Network)
• Regents of the University of California (UCLA Integrated Provider Network)
• Regents of the University of California Los Angeles (UCLA EIMG Community)
• Michael Adam Reid
• Velvalee Reid, M.F.T.

• Internal Medicine Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.