Active NPI
Justene Ariana Reyes, DC
- Chiropractor
- Long Beach, CA
National Provider Identifier
1679358485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36725
- Practice address
- 4195 N Viking Way Ste F
Long Beach, CA 90808-1470 - Phone
- (562) 420-2112
- Fax
- (562) 420-2110
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36725 | CA | Primary |
Addresses
Primary practice location
4195 N Viking Way Ste F
Long Beach, CA 90808-1470
Mailing address
8712 Mayne St
Bellflower, CA 90706-5134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241031003780 | CA | Practitioner - Chiropractic | 9739525247 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36725 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woo-Ming Medical Group, PC | Current | Accepting new patients | |
| Sohma Integrative Health Center Hoover Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
4115 South St
Lakewood, CA 90712
Phone (562) 408-1140
4195 N Viking Way
Ste F
Long Beach, CA 90808
Phone (562) 420-2112
Organizations & group practices 2
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.
-
- Chiropractor
- Long Beach, CA
- NPI 1376941146
-
- General Practice Physician
- Long Beach, CA
- NPI 1205475738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1679358485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8712 MAYNE ST",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907065134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4195 N VIKING WAY STE F",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081470",
"telephone_number": "562-420-2112",
"fax_number": "562-420-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JUSTENE",
"middle_name": "ARIANA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.