Active NPI
Samuel Reitz
- Behavior Analyst
- Riverside, CA
National Provider Identifier
1780144345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12585841
- Practice address
- 1737 Atlanta Ave
Riverside, CA 92507-2442 - Phone
- (818) 285-8252
- Fax
- (818) 273-1831
- NPI assigned
- Mar 20, 2019
- Reactivated
- Dec 16, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12585841 | CA | Primary |
Addresses
Primary practice location
1737 Atlanta Ave
Riverside, CA 92507-2442
Mailing address
7141 Woodley Ave
Van Nuys, CA 91406-3932
Phone (818) 285-8252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12585841 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ican-B | Past | Accepting new patients | |
| Advanced Behavioral Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Huntington Beach, CA
- NPI 1518405166
-
- Community/Behavioral Health Agency
- Van Nuys, CA
- NPI 1669865648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1780144345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7141 WOODLEY AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063932",
"telephone_number": "818-285-8252",
"fax_number": "818-273-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 ATLANTA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072442",
"telephone_number": "818-285-8252",
"fax_number": "818-273-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITZ",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"deactivation_date": "2022-07-21",
"reactivation_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "12585841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.