Active NPI
Jay Andric Mendoza Reyes, FNP
- Family Nurse Practitioner
- Santa Ana, CA
National Provider Identifier
1891231700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95005391
- Practice address
- 3401 W Sunflower Ave
225
Santa Ana, CA 92704-6948 - Phone
- (714) 619-8777
- NPI assigned
- Jan 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95005391 | CA | Primary |
Addresses
Primary practice location
3401 W Sunflower Ave
225
Santa Ana, CA 92704-6948
Mailing address
3401 W Sunflower Ave
225
Santa Ana, CA 92704-6948
Phone (714) 619-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95005391 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1891231700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W SUNFLOWER AVE",
"address_2": "225",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046948",
"telephone_number": "714-619-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W SUNFLOWER AVE",
"address_2": "225",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046948",
"telephone_number": "714-619-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JAY ANDRIC",
"middle_name": "MENDOZA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-16",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95005391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.