Edgar Reyes, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17375 Issued in CA

Practice address

2715 Santa Ana St
South Gate, CA 90280-2021

Phone

(323) 583-0450

Fax

(323) 583-0012

NPI assigned

Jun 13, 2006

Sex

Male

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

Physician Assistant

Education

Stanford University School of Medicine, 2003

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Los Reyes Cliinica Medica, IncGroup PAC ID 2668570243, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Los Reyes Cliinica Medica, Inc

  • Family Medicine Physician
  • South Gate, CA
  • NPI 1952461774
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1891738324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 SANTA ANA ST",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802021",
            "telephone_number": "323-583-0450",
            "fax_number": "323-583-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 SANTA ANA ST",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802021",
            "telephone_number": "323-583-0450",
            "fax_number": "323-583-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "EDGAR",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reina Community Health Center
• Raymond Zarazua Rendon
• Renew Integrated Program-2 Inc
• Kamille Requejo
• Cesar Armando Reyes, P.A.
• Jesus Manuel Reyes, P.A.
• Mayra Reyes
• Miguel Angel Reyes, RDA
• Valerie Eve Reyes
• Reza Ghasemi, DDS Inc.

• Medical Physician Assistant in South Gate, CA
• Providers in South Gate, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.