Jaime S Reyna, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20055 Issued in CA

Practice address

1445 E Shields Ave
Fresno, CA 93704-5138

Phone

(559) 225-2859

Fax

(559) 225-2931

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1760518120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93704",
            "telephone_number": "559-225-2859",
            "fax_number": "559-225-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937045138",
            "telephone_number": "559-225-2859",
            "fax_number": "559-225-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "JAIME",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0200550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Alexander Reyes Jr.
• Yaritza Bautista Reyes
• Yesenia Reyes
• Kenia Yazmin Reyna Blanco, MD
• Deanna Reyna
• Julie Reyna, PPSC, ASW
• Raul Reyna
• Somchit Saysamone Reyna, NP
• Rocio Reynaga, APRN, MSN, FNP
• Rosalinda Juanita Reynaga X

• Chiropractor in Fresno, CA
• Providers in Fresno, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.