Active NPI
George Delfin Reyes, M.D.
- Diagnostic Radiology Physician
- Glendale, CA
National Provider Identifier
1780741330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A76226
- Practice address
- 1509 Wilson Terrace
Glendale, CA 91206-4007 - Phone
- (818) 409-8000
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A76226 | CA | Primary |
Addresses
Primary practice location
1509 Wilson Terrace
Glendale, CA 91206-4007
Mailing address
2400 E Fourth St
National City, CA 91950-2026
Phone (619) 470-4321
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G585940 | Other | CA | BLUE SHIELD |
| RHL162231 | Other | CA | DHS RADIOLOGY LICENSE |
| P01086192 | Other | CA | RAILROAD MEDICARE |
| 00A762260 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76226 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Past | Accepting new patients | |
| Pco PC | Diagnostic Radiology | Past | Accepting new patients |
| Coastal Radiology Associates, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiological Associates of Decatur | Diagnostic Radiology | Past | Accepting new patients |
| Quantum Medical Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- New Bern, NC
- NPI 1144270307
-
- Diagnostic Radiology Physician
- Smyrna, GA
- NPI 1164475869
-
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1427131127
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1780741330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 E FOURTH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502026",
"telephone_number": "619-470-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TERRACE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "818-409-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "GEORGE",
"middle_name": "DELFIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A76226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G585940",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHS RADIOLOGY LICENSE",
"identifier": "RHL162231",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01086192",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A762260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.