William Van Der Reis MD Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G81476 Issued in CA

Legal business name

WILLIAM VAN DER REIS MD INC

Practice address

653 Camino de Los Mares
Suite 109
San Clemente, CA 92673-2808

Phone

(949) 661-2423

Fax

(949) 661-9205

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William L Van Der Reis, MD

Title

President

Phone

(949) 661-2423

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1730419243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES",
            "address_2": "SUITE 109",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732808",
            "telephone_number": "949-661-2423",
            "fax_number": "949-661-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES",
            "address_2": "SUITE 109",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732808",
            "telephone_number": "949-661-2423",
            "fax_number": "949-661-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM VAN DER REIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "VAN DER REIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-661-2423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G81476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Anne Wicks, PSYD
• Victoria Rose Wiley
• Nicholas Everett Wilkinson, PTA
• Mia Grajeda Willard, LCSW
• William Capobianco, D.D.S., Inc
• William W Martin PHD PC
• Chandra Williams
• Nysa R Williams, PT
• Shawn Williams
• Tricia Lynette Williams, DDS

• Orthopaedic Surgery Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.