Individual provider Active NPI

Ditas Joy Reyes, FNP

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1811658040
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016729 Issued in CA
Practice address
335 E Avenue K6 Ste B
Lancaster, CA 93535-4645
Phone
(661) 471-4870
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016729 CA Primary

Addresses

Primary practice location

335 E Avenue K6 Ste B
Lancaster, CA 93535-4645

Mailing address

3900 Saddle Dr
Palmdale, CA 93551-5671

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ditreyes@ph.lacounty.gov

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
I20250530000674 CA Practitioner - Nurse Practitioner 9931618113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles County Department of Public HealthGroup PAC ID 3072966621, 40 clinicians

Practice addresses (Care Compare)

335 E Ave
K6 Suite B
Lancaster, CA 93535-4645
Phone (661) 723-4526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016729CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health CurrentSince Nov 15, 2023 Accepting new patients

Locations

5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1811658040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SADDLE DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E AVENUE K6 STE B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354645",
            "telephone_number": "661-471-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DITAS JOY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ditreyes@ph.lacounty.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "3900 Saddle Dr",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935515671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.