Active NPI
Phoebedel Castro Reyes, MSN, FNP-BC
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95015223
- Practice address
- 300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-3320 - Phone
- (310) 794-1195
- NPI assigned
- Oct 25, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95015223 | CA | Primary |
Addresses
Primary practice location
300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-3320
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
400 W 30th St
Los Angeles, CA 90007-3320
Phone (213) 284-3200
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220621002309 | CA | Practitioner - Nurse Practitioner | 9638558760 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
204 Spring St
Apt 15
New York, NY 10012-3637
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
85 Broad St
Suite 16129
New York, NY 10004-2408
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.73 of 100
- Quality
- 86.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95015223 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| Isaac Health of California, P.C. | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients |
Locations
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
300 UCLA Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 405-9824
300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596
1920 Hillhurst Ave
Los Angeles, CA 90027
Phone (213) 279-5725
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
Interoperability endpoints
- preyes1030753@direct.uclahealth.org
- phoebedel.reyesnp.p1@direct.plannedparenthoodla.nextgenshare.com
Organizations & group practices 4
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.
-
- Neurology Physician
- Los Angeles, CA
- NPI 1588432736
-
- Neurology Physician
- Santa Monica, CA
- NPI 1114557295
-
- Neurology Physician
- Los Angeles, CA
- NPI 1437117074
-
- Land Ambulance
- Los Angeles, CA
- NPI 1962219410
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1700485265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 UCLA MEDICAL PLZ STE B200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953320",
"telephone_number": "310-794-1195"
}
],
"practiceLocations": [
{
"address_1": "400 W 30th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900073320",
"country_code": "US",
"telephone_number": "213-284-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "PHOEBEDEL",
"middle_name": "CASTRO",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-25",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95015223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.