Individual provider Active NPI

Reuben Valles Jr., MD

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1700999638
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A83891 Issued in CA
Practice address
5900 W Olympic Blvd
Los Angeles, CA 90036-4671
Phone
(310) 657-5900
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A83891 CA Primary

Addresses

Primary practice location

5900 W Olympic Blvd
Los Angeles, CA 90036-4671

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243

Other practice location 1

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Other identifiers 1

IdentifierTypeStateIssuer
00A838910MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809001390 CA Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Critical Care (Intensivists)Practitioner - Geriatric MedicinePractitioner - AnesthesiologyPractitioner - General PracticePractitioner - Family Practice 4183696248 Reassigns benefits to 5 organizations
Practice locations: West Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Anesthesiology
Education
University of New Mexico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Anesthesia Associates IncGroup PAC ID 7810275096, 45 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83891CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Nov 14, 2012 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2022 Accepting new patients
Valley Orthopedic Institute Inc Current Accepting new patients
KND Development 59 LLC Current Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Nov 14, 2012 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Regional Anesthesia Associates Inc Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients

Locations (25 of 28)

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

9300 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 663-3700

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

6125 N Fresno St
Fresno, CA 93710
Phone (559) 285-9344

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

1630 E Herndon Ave
Ste 100
Fresno, CA 93720
Phone (559) 449-2888

7014 N Whitney Ave
Ste B
Fresno, CA 93720
Phone (559) 321-2900

7085 N Maple Ave
Fresno, CA 93720
Phone (559) 325-7100

7152 N Sharon Ave
Ste 104
Fresno, CA 93720
Phone (559) 447-4898

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1390 E Yosemite Ave
Ste B
Merced, CA 95340
Phone (209) 580-3400

14900 Imperial Hwy
Mirada, CA 90638
Phone (559) 627-6363

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

647 W Avenue Q
Palmdale, CA 93551
Phone (661) 949-8643

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1533 N Downs St
Ridgecrest, CA 93555
Phone (760) 446-2900

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1700999638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364671",
            "telephone_number": "310-657-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933064018",
            "country_code": "US",
            "telephone_number": "661-326-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLES",
        "first_name": "REUBEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A83891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A838910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.