Individual provider Active NPI

Ann Marielle Reyes Reyes, NP

  • Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1790520765
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95029916 Issued in CA
Practice address
17785 Center Court Dr N
Cerritos, CA 90703-8573
Phone
(323) 446-4493
NPI assigned
Jul 1, 2024
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95029916 CA Primary

Addresses

Primary practice location

17785 Center Court Dr N
Cerritos, CA 90703-8573

Mailing address

418 S Shields Dr
Anaheim, CA 92804-2022
Phone (714) 316-3720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118003497 CA Practitioner - Nurse Practitioner 1951836659 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Mobile Wound CareGroup PAC ID 1557889854, 9 clinicians
Wound Care First CorpGroup PAC ID 1850884289, 6 clinicians
Perpetual Wound RescueGroup PAC ID 3274034350, 9 clinicians

Practice addresses (Care Compare)

Anaheim, CA 92801
Phone (562) 388-8458

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029916CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Oct 29, 2024 Accepting new patients
Perpetual Wound Rescue CurrentSince Sep 1, 2025 Accepting new patients
Wound Rescue Specialist Nurse Practitioner CurrentSince Sep 5, 2024 Accepting new patients
Wound Care First Corp CurrentSince Apr 7, 2026 Accepting new patients
RPM Medical Group CurrentSince Mar 1, 2025 Accepting new patients
Vividerm Wound Care CurrentSince Mar 22, 2025 Accepting new patients
Carequest Solutions Nursing PC Nurse Practitioner CurrentSince Mar 2, 2025 Accepting new patients
Jem Hospice Corporation CurrentSince Sep 5, 2024 Accepting new patients
Concierge Healthcare Services Nurse Practitioner CurrentSince Sep 20, 2025 Accepting new patients
California PHS PC Nurse Practitioner CurrentSince Oct 29, 2024 Accepting new patients
Wound Savers of California Inc Nurse Practitioner CurrentSince Oct 13, 2024 Accepting new patients
Anthem Medical Specialists Inc CurrentSince Jun 15, 2025 Accepting new patients
Community Care Mobile Doctors CurrentSince Sep 5, 2024 Accepting new patients
Prudent Healthcare Services Nursing Nurse Practitioner CurrentSince Jan 18, 2025 Accepting new patients
Thrive Healthcare Solutions Nursing PC Nurse Practitioner CurrentSince Mar 6, 2025 Accepting new patients
Pacific Mobile Wound Care CurrentSince Oct 1, 2025 Accepting new patients
FM Woundcare Inc Nurse Practitioner CurrentSince Feb 2, 2025 Accepting new patients
JRD Medical Group Past Accepting new patients

Locations

1100 E Orangethorpe Ave
Ste 200
Anaheim, CA 92801
Phone (714) 932-8931

1100 E Orangethorpe Ave
Ste 200R
Anaheim, CA 92801
Phone (714) 273-7672

1100 E Orangethorpe Ave
Ste 200X
Anaheim, CA 92801
Phone (657) 900-4138

1100 E Orangethorpe Ave
Ste 252K
Anaheim, CA 92801
Phone (562) 388-8458

421 N Brookhurst St
Ste 224
Anaheim, CA 92801
Phone (562) 306-9739

421 N Brookhurst St
Ste 228B
Anaheim, CA 92801
Phone (310) 808-3410

421 N Brookhurst St
Ste 228C
Anaheim, CA 92801
Phone (714) 765-2978

421 N Brookhurst St
Ste 228J
Anaheim, CA 92801
Phone (562) 676-5671

1420 E Palomar St
Chula Vista, CA 91913

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

1940 W Orangewood Ave
Ste 110
Orange, CA 92868
Phone (714) 978-2996

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

438 E Katella Ave
Ste 226
Orange, CA 92867
Phone (760) 687-6968

438 E Katella Ave
Ste B
Orange, CA 92867
Phone (714) 744-5000

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

275 W Hospitality Ln
Ste 314
Sn Bernrdno, CA 92408
Phone (956) 245-2275

275 W Hospitality Ln
Ste 317
Sn Bernrdno, CA 92408
Phone (909) 763-3363

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1790520765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S SHIELDS DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042022",
            "telephone_number": "714-316-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17785 CENTER COURT DR N",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038573",
            "telephone_number": "323-446-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ANN MARIELLE",
        "middle_name": "REYES",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95029916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.