Active NPI
Reymundo Nour
- Phlebotomy Technician
- Palm Desert, CA
National Provider Identifier
1699176701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- CPT65802
- Practice address
- 74230 Candlewood St Unit a
Palm Desert, CA 92260-4865 - Phone
- (760) 600-5825
- Fax
- (760) 600-5824
- NPI assigned
- Sep 8, 2014
- Last updated
- Sep 8, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | CPT65802 | CA | Primary |
Addresses
Primary practice location
74230 Candlewood St Unit a
Palm Desert, CA 92260-4865
Mailing address
74230 Candlewood St Unit a
Palm Desert, CA 92260-4865
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPT65802 | CA | MD | Phlebotomy Technician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1699176701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74230 CANDLEWOOD ST UNIT A",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74230 CANDLEWOOD ST UNIT A",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604865",
"telephone_number": "760-600-5825",
"fax_number": "760-600-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOUR",
"first_name": "REYMUNDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "CPT65802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
- Amanda Nolan I
- Wendy Sue Norris, RN
- Northland Hearing Center, Inc (Audibel Hearing Center)
- Northland Hearing Center, Inc. (Bellows Hearing Institute)
- Northstar Licensed Professional Clinical Counselor, Inc
- Julius Nsubuga
- Amy Marie Nunez, M.S. CCC-SLP
- Jason Nwosu
- Lisa O'Brien
- Oasis Comfort Care Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.