Avuse Antionette Reynolds

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT30248 Issued in CA

Practice address

Corona-Rincon
255 E. Rincon Street
Corona, CA 92879

Phone

(951) 817-5328

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1730933946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11383 PEPPER LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237440",
            "telephone_number": "951-703-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORONA-RINCON",
            "address_2": "255 E. RINCON STREET",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-817-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "AVUSE",
        "middle_name": "ANTIONETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT30248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangeline A Reyes, M.D.
• Katy Tatiana Reyes
• Kristyan Alani Reyes
• Roberto Reyes
• Carmen Reyna, ACSW
• Byron Omar Reynoso, D.P.T.
• Jeremy Hector Reynoso, PTA
• Karla Reynoso
• Patricia Reynoso
• Brenda Rienru Rhima, NP

• Licensed Psychiatric Technician in Corona, CA
• Providers in Corona, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.