Antonio Reyes Jr.

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Practice address

660 E Regent St
Inglewood, CA 90301-1415

Phone

(310) 674-9179

Fax

(310) 674-0120

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1740759083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 E REGENT ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011415",
            "telephone_number": "310-674-9179",
            "fax_number": "310-674-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 E REGENT ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011415",
            "telephone_number": "310-674-9179",
            "fax_number": "310-674-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ANTONIO",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "900676339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regent Medical Group Laboratory
• Releford Foot and Ankle Institute (Bill James Releford, Inc, D.P.M.)
• Bill J. Releford, DPM
• Reliable Advanced Clinicians Inc
• Pricilla Adelia Requena
• Ashleylauren Reyes, LMFT
• Jacobo Machuca Reyes, BA, CADCIII
• Jose Antonio Reyes
• Katherine Brittany Reyes, BA
• Natali Reyes

• Orthotic Fitter in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Orthotic Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.