Carlo Reyes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95015437 Issued in CA

Practice address

71843 Highway 111 Ste B
Rancho Mirage, CA 92270-4418

Phone

(760) 610-5190

NPI assigned

Oct 13, 2020

Last updated

Sep 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• VHC, P.C.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1306582119
  Medicare reassignment NPD
• Rosanna W Iskander M D Inc

  • Family Medicine Physician
  • San Dimas, CA
  • NPI 1386721959
  NPD (past)

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1891393732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 GODINEZ DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364624",
            "telephone_number": "626-806-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71843 HIGHWAY 111 STE B",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704418",
            "telephone_number": "760-610-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6926 Brockton Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063804",
            "country_code": "US",
            "telephone_number": "877-414-7739",
            "fax_number": "844-682-0372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "CARLO",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015437",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015437",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95015437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabilitation Hospital of Southern California LLC (Vibra Rehabilitation Hospital of Rancho Mirage)
• Abdul Rehman, MBBS
• Eric Lee Rennacker, LMFT
• Aaron Gabriel Enrique Reyes
• Alexandra Reyes, FNP
• Don Leo Reyes, MD
• Jannett Reyes, M.S., BCBA
• Behnoud Reyhani, DDS
• Roberto Reyna, MD
• Dusanka Rose Marie Reynolds, PHD

• Family Nurse Practitioner in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.

Verify at the official NPI Registry.