Individual provider Active NPI

Reeva C Bazroy, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Artesia, CA
National Provider Identifier
1811474349
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
692013 Issued in CA
Practice address
16716 Alburtis Ave
Artesia, CA 90701-1709
Phone
(714) 930-5656
NPI assigned
Jul 26, 2018
Last updated
Jul 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 692013 CA Primary

Addresses

Primary practice location

16716 Alburtis Ave
Artesia, CA 90701-1709

Mailing address

16716 Alburtis Ave
Artesia, CA 90701-1709
Phone (714) 930-5656

Other practice location 1

12619 Avalon Blvd
Los Angeles, CA 90061-2727
Phone (323) 757-1881

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
I20200203000810 CA Practitioner - Nurse Practitioner 9931535390 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vortex Mental HealthGroup PAC ID 1759716673, 17 clinicians

Practice addresses (Care Compare)

420 S Beverly Dr
Suite 211
Beverly Hills, CA 90212-4411
Phone (310) 552-0146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
95
Improvement activities
40
Cost
49.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
692013CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Center Single Specialty CurrentSince Oct 22, 2023 Accepting new patients
New Foundation Medical Inc. Single Specialty CurrentSince Feb 10, 2020 Accepting new patients
Vortex Mental Health Single Specialty CurrentSince Jan 22, 2020 Accepting new patients
Robert Marriott Medical Corp Single Specialty Past Accepting new patients
Access Community Health Center Past Accepting new patients
Amada Enterprises Inc Past Accepting new patients

Locations

420 S Beverly Dr
Ste 211
Beverly Hills, CA 90212
Phone (310) 552-0146

24953 Paseo de Valencia
Ste 7C
Laguna Hills, CA 92653
Phone (714) 352-5800

1760 Termino Ave
Ste 100
Long Beach, CA 90804
Phone (310) 552-0146

6960 Magnolia Ave
Ste 203
Riverside, CA 92506
Phone (714) 352-5800

520 N Main St
Ste 120
Santa Ana, CA 92701
Phone (714) 352-5800

520 N Main St
Ste 220
Santa Ana, CA 92701
Phone (714) 352-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1811474349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16716 ALBURTIS AVE",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907011709",
            "telephone_number": "714-930-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16716 ALBURTIS AVE",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907011709",
            "telephone_number": "714-930-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12619 Avalon Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900612727",
            "country_code": "US",
            "telephone_number": "323-757-1881",
            "fax_number": "323-905-0983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZROY",
        "first_name": "REEVA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "692013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

Verify at the official NPI Registry.