Active NPI
Annette Elizabeth Reyes
- Social Worker
- Palmdale, CA
National Provider Identifier
1881376978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW125387
- Practice address
- 2211 E Palmdale Blvd Ste I
Palmdale, CA 93550-4949 - Phone
- (909) 599-1227
- NPI assigned
- Aug 7, 2023
- Reactivated
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | ASW125387 | CA | Primary |
Addresses
Primary practice location
2211 E Palmdale Blvd Ste I
Palmdale, CA 93550-4949
Mailing address
2211 E Palmdale Blvd Ste I
Palmdale, CA 93550-4949
Phone (909) 599-1227
Other practice location 1
4590 Allstate Dr
Riverside, CA 92501-1702
Phone (909) 599-1227
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW125387 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koinonia Foster Homes, Inc. | Past | Accepting new patients | |
| JFHS LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Apple Valley, CA
- NPI 1013540731
-
- Mental Illness Community Based Residential Treatment Facility
- Antelope, CA
- NPI 1831506534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1881376978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 E PALMDALE BLVD STE I",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935504949",
"telephone_number": "909-599-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 E PALMDALE BLVD STE I",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935504949",
"telephone_number": "909-599-1227"
}
],
"practiceLocations": [
{
"address_1": "4590 Allstate Dr",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925011702",
"country_code": "US",
"telephone_number": "909-599-1227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "ANNETTE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"deactivation_date": "2023-12-01",
"reactivation_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW125387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.