Individual provider Active NPI

Fernando Andres Rey, D.C.

  • Rehabilitation Chiropractor
  • Panorama City, CA
National Provider Identifier
1588848725
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC27695 Issued in CA
Practice address
8780 Van Nuys Blvd
Suite B
Panorama City, CA 91402-2412
Phone
(818) 894-4437
Fax
(818) 894-6061
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC27695 CA Primary

Addresses

Primary practice location

8780 Van Nuys Blvd
Suite B
Panorama City, CA 91402-2412

Mailing address

8780 Van Nuys Blvd.
Suite B
Panorama City, CA 91402-2454
Phone (818) 894-4437

Other identifiers 1

IdentifierTypeStateIssuer
DC 0276950MedicaidCA

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1588848725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 VAN NUYS BLVD.",
            "address_2": "SUITE B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022454",
            "telephone_number": "818-894-4437",
            "fax_number": "818-894-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 VAN NUYS BLVD",
            "address_2": "SUITE B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022412",
            "telephone_number": "818-894-4437",
            "fax_number": "818-894-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY",
        "first_name": "FERNANDO",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC27695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC 0276950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.