Active NPI
Linda C Reyes, NP
- Nurse Practitioner
- La Habra, CA
National Provider Identifier
1619984846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15536
- Practice address
- 1160 Cheri Dr
La Habra, CA 90631-2602 - Phone
- (951) 201-7075
- Fax
- (562) 365-3501
- NPI assigned
- Aug 1, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 15536 | CA | Primary |
Addresses
Primary practice location
1160 Cheri Dr
La Habra, CA 90631-2602
Mailing address
1160 Cheri Dr
La Habra, CA 90631-2602
Phone (951) 201-7075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15536 | Other | CA | NP LICENSE |
| 428058 | Other | CA | RN LICENSE |
Other names 1
- Mr. Ma. Lourdes C Reyes
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & L Holdings, Incorporated | 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 and National Provider Directory roles.
-
- Assisted Living Facility
- La Habra, CA
- NPI 1255994992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1619984846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 CHERI DR",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906312602",
"telephone_number": "951-201-7075",
"fax_number": "562-365-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 CHERI DR",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906312602",
"telephone_number": "951-201-7075",
"fax_number": "562-365-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "LINDA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "15536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "15536",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "428058",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MA. LOURDES",
"last_name": "REYES",
"middle_name": "C",
"prefix": "MR.",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.