David Michael Reyes, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A62046 Issued in CA

Practice address

657 E Arrow Hwy
Suite G
Glendora, CA 91740-6013

Phone

(626) 963-1530

Fax

(626) 339-3031

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689887622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E ARROW HWY",
            "address_2": "SUITE G",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406013",
            "telephone_number": "626-963-1530",
            "fax_number": "626-339-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E ARROW HWY",
            "address_2": "SUITE G",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406013",
            "telephone_number": "626-963-1530",
            "fax_number": "626-339-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A62046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A620460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Alexandria Reeder
• Reema Arnouk, D.D.S., Inc.
• Rehfeld, Hernandez & Associates, Inc.
• Nancy Rehfeld
• Glenda Lee Reid, LCSW
• Honeyleen Reyes
• Jeanette Reyes
• Stephanie Martinez Reynoso
• Kurtis Rice
• Richard G Johnson MD Inc

• General Practice Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.