Active NPI
Margarita Reyes
- Peer Specialist
- San Mateo, CA
National Provider Identifier
1578313714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 400 Concar Dr Ste 4-134
San Mateo, CA 94402-2681 - Phone
- (888) 300-6792
- NPI assigned
- Mar 22, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
400 Concar Dr Ste 4-134
San Mateo, CA 94402-2681
Mailing address
14065 Buckner Dr
San Jose, CA 95127-3208
Phone (971) 895-2217
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1578313714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14065 BUCKNER DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951273208",
"telephone_number": "971-895-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CONCAR DR STE 4-134",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944022681",
"telephone_number": "888-300-6792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MARGARITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-22",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.