Ireen Banaag Reyes

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95023414 Issued in CA

Practice address

27811 Greenspot Rd
Highland, CA 92346-4361

Phone

(909) 443-2584

Fax

(909) 752-5512

NPI assigned

Nov 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Stallant Medical Group Inc

  • Rural Health Clinic/Center
  • Crescent City, CA
  • NPI 1366082463
  Medicare reassignment NPD (past)
• Stallant Medical Group Inc

  • Rural Health Clinic/Center
  • Highland, CA
  • NPI 1508683111
  NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1891403853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SILVER CUP CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742771",
            "telephone_number": "909-583-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27811 GREENSPOT RD",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464361",
            "telephone_number": "909-443-2584",
            "fax_number": "909-752-5512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1595 Silver Cup Ct",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742771",
            "country_code": "US",
            "telephone_number": "909-583-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "IREEN",
        "middle_name": "BANAAG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Arcangel Ramos, D.D.S
• Sumer Jazelle Remus
• Kaitlyn Grace Renna
• Ivette Irais Renteria
• Paola Reyes Ramirez
• Cheryl Reynolds
• Amber S Rivers
• Jonathan Rocha
• Rockcreek, Inc.
• Rockcreek, Inc.

• Family Nurse Practitioner in Highland, CA
• Providers in Highland, 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 Mar 19, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.