Jorge Reyes

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

LCS 27150 Issued in CA

Legal business name

JORGE REYES

Practice address

23550 Lyons Ave
Ste 211
Santa Clarita, CA 91321-2520

Phone

(661) 360-6792

Fax

(661) 430-5414

NPI assigned

Mar 30, 2015

Last updated

Feb 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Reyes, LCSWNPI 1316018054

Title

Owner

Phone

(213) 458-1459

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge E. Reyes, LCSW

  • Clinical Social Worker
  • Santa Clarita, CA
  • NPI 1316018054
  Authorized official Same address or phone

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1801281639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25453 VIA LABRADA",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552718",
            "telephone_number": "213-458-1459",
            "fax_number": "661-430-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23550 LYONS AVE",
            "address_2": "STE 211",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212520",
            "telephone_number": "661-360-6792",
            "fax_number": "661-430-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE REYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-458-1459",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "LCS 27150",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "LCS 27150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Jordan Austin, MFT
• Cherish Jordan, MA, PSY.D.
• Mandy Jordan, M.A.
• Rose Jordan, PT
• Stephanie Jordan
• Thomas P Joseph, MD
• Jetzabel Juarez
• Marco Juarez, FNP BC
• Cali Ann Judson, LD, PPD, CCCE
• Amy Juleson, LMFT

• Preferred Provider Organization in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.