Individual provider Active NPI

Justene Ariana Reyes, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1679358485
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36725 Issued in CA
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

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20241031003780 CA Practitioner - Chiropractic 9739525247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36725CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Woo-Ming Medical Group, PC CurrentSince Aug 15, 2024 Accepting new patients
Sohma Integrative Health Center Hoover Chiropractic Inc Chiropractor CurrentSince Sep 5, 2023 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.

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.

Verify at the official NPI Registry.