Individual provider Active NPI

Ruben Reynoso

  • Hearing Instrument Specialist
  • Tarzana, CA
National Provider Identifier
1699229377
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA8086 Issued in CA
Practice address
19367 Victory Blvd Ste 14
Tarzana, CA 91335-6302
Phone
(818) 343-8116
NPI assigned
Aug 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA8086 CA Primary

Addresses

Primary practice location

19367 Victory Blvd Ste 14
Tarzana, CA 91335-6302

Mailing address

19367 Victory Blvd Ste 14
Tarzana, CA 91335-6302
Phone (818) 343-8116

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

LicenseStateTypeSpecialty
HA8086CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West, LLC CurrentSince Dec 27, 2020 Accepting new patients
Hearx West Inc PastSince Dec 27, 2020 Accepting new patients

Locations

4345 Glencoe Ave
#C-12
Marina del Rey, CA 90292
Phone (310) 881-6597

11260 Wilbur Ave
Ste 100
Porter Ranch, CA 91326
Phone (818) 350-8144

19367 Victory Blvd
Ste 14
Tarzana, CA 91335
Phone (818) 343-8116

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1699229377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19367 VICTORY BLVD STE 14",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356302",
            "telephone_number": "818-343-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19367 VICTORY BLVD STE 14",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356302",
            "telephone_number": "818-343-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "RUBEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.